Dr Fawzia Haque, MD | |
4133 Medical Center Dr, Broad Top, PA 16621-9001 | |
(814) 506-8463 | |
Not Available |
Full Name | Dr Fawzia Haque |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 4133 Medical Center Dr, Broad Top, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578752291 | NPI | - | NPPES |
118607WFP | Other | PA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD431772 (Pennsylvania) | Primary |
Entity Name | Tyrone Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659472447 PECOS PAC ID: 4183619885 Enrollment ID: O20040420000610 |
Entity Name | Broad Top Area Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063514453 PECOS PAC ID: 2860430972 Enrollment ID: O20050420000158 |
Entity Name | Tyrone Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922429133 PECOS PAC ID: 4183619885 Enrollment ID: O20140905000044 |
Mailing Address | Practice Location Address |
---|---|
Dr Fawzia Haque, MD 4133 Medical Center Dr, Broad Top, PA 16621-9001 Ph: (814) 506-8463 | Dr Fawzia Haque, MD 4133 Medical Center Dr, Broad Top, PA 16621-9001 Ph: (814) 506-8463 |
Dr. Kevin Michael Hepler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4133 Medical Center Dr, Broad Top, PA 16621 Phone: 814-635-2916 | |
John D Roth, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4133 Medical Center Dr, Broad Top, PA 16621 Phone: 814-635-2916 Fax: 814-635-2918 |