Active NPI
Ikram Ul Haque, MD
- Pediatric Critical Care Medicine Physician
- Houston, TX
National Provider Identifier
1609897396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- FTL 42583
- Practice address
- 6411 Fannin St
HP 9137
Houston, TX 77030-1501 - Phone
- (713) 704-2238
- Fax
- (713) 704-3546
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | FTL 42583 | TX | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME84732 | FL |
Addresses
Primary practice location
6411 Fannin St
HP 9137
Houston, TX 77030-1501
Mailing address
6431 Fannin St
MSB 3.228
Houston, TX 77030-1501
Phone (713) 500-5650
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201562002 | Other | TX | CSHCN |
| 8BZ673 | Other | TX | BCBSTX |
| 264277800 | Medicaid | FL | |
| 201562001 | Medicaid | TX |
Other names 1
- Ikram Ul Haque
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME84732 | FL | MD | Pediatric Critical Care Medicine Physician |
| FTL 42583 | TX | MD | Pediatric Critical Care Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1609897396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN ST",
"address_2": "MSB 3.228",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-500-5650",
"fax_number": "713-500-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6411 FANNIN ST",
"address_2": "HP 9137",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-704-2238",
"fax_number": "713-704-3546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAQUE",
"first_name": "IKRAM",
"middle_name": "UL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "FTL 42583",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME84732",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "201562002",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8BZ673",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264277800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201562001",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "IKRAM",
"last_name": "HAQUE",
"middle_name": "UL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.