| Naz Haque Md Pc | |
|
22535 Fuller Dr Novi MI 48374-3781 | |
| (248) 697-6666 | |
| Not Available |
| Full Name | Naz Haque Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 22535 Fuller Dr, Novi, Michigan |
| Authorized Official Name and Position | Naz Haque (OWNER) |
| Authorized Official Contact | 2486976666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Naz Haque Md Pc 22535 Fuller Dr Novi MI 48374-3781 Ph: (248) 697-6666 | Naz Haque Md Pc 22535 Fuller Dr Novi MI 48374-3781 Ph: (248) 697-6666 |
| NPI Number | 1679895437 |
|---|---|
| Provider Enumeration Date | 02/22/2010 |
| Last Update Date | 02/22/2010 |
| Medicare PECOS PAC ID | 3971635905 |
|---|---|
| Medicare Enrollment ID | O20100709000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679895437 | NPI | - | NPPES |
| 1487646220 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301075503 (Michigan) | Primary |
| Provider Name | Naz Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487646220 PECOS PAC ID: 8123025137 Enrollment ID: I20061106000355 |
| Provider Name | Gregory C Kaminski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295149011 PECOS PAC ID: 9931447398 Enrollment ID: I20190208002303 |
| Provider Name | Cassandra Marie Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447025994 PECOS PAC ID: 6709226285 Enrollment ID: I20240501001049 |
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