Doctor Name: | DR. RAIHAN U. HAQUE |
NPI Number: | 1649435199 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A86542 |
Business Practice Address: | 16460 Bake Pkwy Irvine, CA - 926184665 |
Business Phone Number: | 9496792200 |
Business Fax Number: | |
Mailing Address: | Po Box 54003, IRVINE |
State: | CA |
Postal Code: | 926194003 |
Phone Number: | 9496792200 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2008 |
NPI Last Update Date: | 10/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A86542 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |