Active NPI
Naz Haque MD PC
- Internal Medicine Physician
- Novi, MI
National Provider Identifier
1679895437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301075503
- Legal business name
- NAZ HAQUE MD PC
- Practice address
- 22535 Fuller Dr
Novi, MI 48374-3781 - Phone
- (248) 697-6666
- NPI assigned
- Feb 22, 2010
- Last updated
- Feb 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Naz Haque, MD
- Title
- Owner
- Phone
- (248) 697-6666
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301075503 | MI | Primary |
Addresses
Primary practice location
22535 Fuller Dr
Novi, MI 48374-3781
Mailing address
22535 Fuller Dr
Novi, MI 48374-3781
Phone (248) 697-6666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487646220 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1487646220
-
- Family Nurse Practitioner
- Novi, MI
- NPI 1447025994
-
- Nurse Practitioner
- Southfield, MI
- NPI 1295149011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266796800000",
"number": "1679895437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22535 FULLER DR",
"city": "NOVI",
"state": "MI",
"postal_code": "483743781",
"telephone_number": "248-697-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22535 FULLER DR",
"city": "NOVI",
"state": "MI",
"postal_code": "483743781",
"telephone_number": "248-697-6666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAZ HAQUE MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A",
"authorized_official_last_name": "HAQUE",
"authorized_official_first_name": "NAZ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-697-6666",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301075503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487646220",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.