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:
Health care specialties
| Specialty | Code | License # | 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 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427167378 | NPPES |
| Michigan | MEDICAID | 4347496 | |
| Michigan | Other | 2606339032 | |
| Michigan | MEDICAID | 4369742 |
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