M. Emdadul Haque MD PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME0076036 Issued in FL

Legal business name

M. EMDADUL HAQUE MD PA

Practice address

412 Palmetto St
New Smyrna Beach, FL 32168-7361

Phone

(386) 427-4752

NPI assigned

Jun 11, 2008

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. M. Emdadul Haque, MD

Title

Owner

Phone

(386) 427-4752

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Muhammad Emdadul Haque, MD

  • Pain Medicine Physician
  • New Smyrna Beach, FL
  • NPI 1417905837
  Medicare reassignment NPD
• Clifford C. Chu, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • New Smyrna Beach, FL
  • NPI 1023336609
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1073773214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687361",
            "telephone_number": "386-427-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687361",
            "telephone_number": "386-427-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. EMDADUL HAQUE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "EMDADUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-427-4752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME0076036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Ann Lord, NP
• Sarah Lower, ARNP
• Priscilla Luong, MD
• Raymond A Luxton
• Steven Matthew Lyon, PTA
• Lisa F Macdowell, ARNP
• Mandisa Maddox, CNA
• Christopher Chien Mai, M.D.
• Ryan Maize, DC
• Kathryn Michelle Malan, M.D.

• Pain Medicine (Anesthesiology) Physician in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.