Active NPI
Mohammed Sirajul Haq, M.D.
- Internal Medicine Physician
- Hazel Park, MI
National Provider Identifier
1801874516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MH045683
- Practice address
- 624 E 9 Mile Rd
Hazel Park, MI 48030-1842 - Phone
- (248) 541-2800
- Fax
- (248) 548-5385
- NPI assigned
- Jan 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MH045683 | MI | Primary |
Addresses
Primary practice location
624 E 9 Mile Rd
Hazel Park, MI 48030-1842
Mailing address
624 E 9 Mile Rd
Hazel Park, MI 48030-1842
Phone (248) 541-2800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101861 | Other | MI | GREAT LAKES HEALTH PLAN |
| D91370 | Other | MI | HAP |
| 100071 | Other | MI | MOLINA HEALTH CARE |
| 201041 | Other | MI | ULTIMED |
| 1106317002 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130412000632 | MI | Order and Referring Only - Internal Medicine | 6507916855 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH045683 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801874516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 E 9 MILE RD",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480301842",
"telephone_number": "248-541-2800",
"fax_number": "248-548-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 E 9 MILE RD",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480301842",
"telephone_number": "248-541-2800",
"fax_number": "248-548-5385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAQ",
"first_name": "MOHAMMED",
"middle_name": "SIRAJUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "MH045683",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "101861",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "D91370",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTH CARE",
"identifier": "100071",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ULTIMED",
"identifier": "201041",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1106317002",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hazel Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.