Dr Haq Primary Care PSC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DR HAQ PRIMARY CARE PSC

Practice address

219 E Broadway
Louisville, KY 40202-2007

Phone

(502) 587-0394

Fax

(502) 587-0390

NPI assigned

Jan 3, 2011

Last updated

May 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abdul Haq, MDNPI 1922171636

Title

Ceo

Phone

(502) 797-7870

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Abdul Haq, MD

  • Pediatrics Physician
  • Louisville, KY
  • NPI 1922171636
  Authorized official Same address or phone

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1881998086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "EASTWOOD",
            "state": "KY",
            "postal_code": "400180123",
            "telephone_number": "502-797-7870",
            "fax_number": "502-587-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022007",
            "telephone_number": "502-587-0394",
            "fax_number": "502-587-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HAQ PRIMARY CARE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-797-7870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.