Doctor Name: | DR. SHAMS HAQ |
NPI Number: | 1659509800 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 3760 Fairway Park Dr 104 Copley, OH - 443213101 |
Business Phone Number: | 3302568982 |
Business Fax Number: | |
Mailing Address: | 3760 Fairway Park Dr, 104 COPLEY |
State: | OH |
Postal Code: | 443213101 |
Phone Number: | 3302568982 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2009 |
NPI Last Update Date: | 06/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |