Haque, Shuja

Haque, Shuja is an individual health care provider with primary practice located at 4646 John R Street 11Mh, Detroit MI 48201-1916. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Haque, Shuja can be contacted via phone (313) 576-3373.

Contact Information

Primary practice address
4646 John R Street 11Mh Detroit MI 48201-1916
Phone: (313) 576-3373
Fax: (313) 576-1091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301055826 Michigan
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 4301055826 Michigan

Profile Details

NPI number 1427167378
LBN Legal business name Haque, Shuja
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 9th, 2007 - about 17 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 1427167378 NPPES
Michigan MEDICAID 4347496
Michigan Other 2606339032
Michigan MEDICAID 4369742

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