Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 11013392A | IN |
Y | 2086S0105X | Surgery of the Hand | 2009-01161 | NC |
N | 2086S0105X | Surgery of the Hand | 40404 | KY |
NPI | 1144351693 |
---|---|
Provider Name | Dr. Enamul Haque |
First Address | Charlotte, NC 28275-1069 |
Second Address | Charlotte, NC 28226-3362 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 14/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
153XH | BCBSNC (01) | NC |
5912414 | (05) | NC |