Haque, Suhail I
Haque, Suhail I is an sole proprietor health care provider with primary practice located at 645 S Roy Wilkins Ave , Louisville KY 40203-2072. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Haque, Suhail I can be contacted via phone (502) 561-0520.Contact Information
Primary practice address
645 S Roy Wilkins Ave
Louisville KY 40203-2072
Phone: (502) 561-0520
Fax: (502) 561-0521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35219 | Kentucky |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 35219 | Kentucky |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 01047434A | Indiana |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 35219 | Kentucky |
Profile Details
| NPI number | 1821048513 |
|---|---|
| LBN Legal business name | Haque, Suhail I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Dec 6th, 2023 - about 3 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 | 1821048513 | NPPES |
| Indiana | MEDICAID | 200329370 | |
| Indiana | MEDICAID | 64037195 |
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