Organization Active NPI

Imran Ul Haq,M.D., LLC

  • Surgery Physician
  • Mullica Hill, NJ
National Provider Identifier
1316230642
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
IMRAN UL HAQ,M.D., LLC
Practice address
1 Wheatley Blvd
Suite a
Mullica Hill, NJ 08062-9622
Phone
(856) 558-3323
NPI assigned
May 19, 2011
Last updated
May 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Imran U Haq, M.D.
Title
Owner
Phone
(856) 558-3323

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary
Vascular Surgery Physician 2086S0129X
Colon & Rectal Surgery Physician 208C00000X

Addresses

Primary practice location

1 Wheatley Blvd
Suite a
Mullica Hill, NJ 08062-9622

Mailing address

211 Shivers Run CT
Mullica Hill
Mullica Hill, NJ 08062-4731
Phone (856) 558-3323

National Provider Directory

National Provider Directory

Locations

1122 High St N
Rear
Millville, NJ 08332
Phone (856) 426-2352

1 Wheatley Blvd
Ste A
Mullica Hill, NJ 08062
Phone (856) 558-3323

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1316230642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SHIVERS RUN CT",
            "address_2": "MULLICA HILL",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080624731",
            "telephone_number": "856-558-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WHEATLEY BLVD",
            "address_2": "SUITE A",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629622",
            "telephone_number": "856-558-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMRAN UL HAQ,M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-558-3323",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.