Haque, Raza Ul

Haque, Raza Ul is an individual health care provider with primary practice located at 2909 E Grand River Ave Ste 102 , Lansing MI 48912-4335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Haque, Raza Ul can be contacted via phone (517) 364-8670.

Contact Information

Primary practice address
2909 E Grand River Ave Ste 102 Lansing MI 48912-4335
Fax: (517) 364-8671
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 4301061792 Michigan

Profile Details

NPI number 1336197706
LBN Legal business name Haque, Raza Ul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jun 26th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336197706 NPPES
Michigan MEDICAID 1336197706
Michigan MEDICAID 104619863

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