Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301083212 | MI |
Y | 2084N0402X | Child Neurologist | 4301083212 | MI |
N | 2084N0600X | Clinical Neurophysiologist | 4301083212 | MI |
NPI | 1194923060 |
---|---|
Provider Name | Dr. Ateeq Ahmed Haseeb |
First Address | Sylvania, OH 43560-2295 |
Second Address | Toledo, OH 43608-2673 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 09/06/2011 |