Organization Active NPI

Farzana Haque, MD, PC

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1669523171
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301061637 Issued in MI
Legal business name
FARZANA HAQUE, MD, PC
Practice address
5882 Houghten Dr
Suite B
Troy, MI 48098-2960
Phone
(248) 922-0680
Fax
(248) 922-2820
NPI assigned
Jan 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Farzana Haque, MD
Title
Owner
Phone
(248) 922-0680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301061637 MI Primary

Addresses

Primary practice location

5882 Houghten Dr
Suite B
Troy, MI 48098-2960

Mailing address

7320 Meadow LN
Davisburg, MI 48350-3142
Phone (248) 922-0680

Other identifiers 1

IdentifierTypeStateIssuer
4322512MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669523171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 MEADOW LN",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483503142",
            "telephone_number": "248-922-0680",
            "fax_number": "248-922-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5882 HOUGHTEN DR",
            "address_2": "SUITE B",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982960",
            "telephone_number": "248-922-0680",
            "fax_number": "248-922-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARZANA HAQUE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "FARZANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-922-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301061637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4322512",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.