MOHAMMED S HAQ MD P C (NPI# 1437392552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437392552 |
| Entity Type | Organization |
| Organization Name | MOHAMMED S HAQ MD P C |
| Other Organization Name | VAN DYKE MEDICAL CENTER P C |
| Practice Address |
624 E 9 Mile Rd Hazel Park MI 48030-1842 |
| Practice Telephone | 2485412800 |
| Practice Fax Number | 2485485385 |
| Mailing Telephone | 2485412800 |
| Mailing Fax Number | 2485485385 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-06-05 |
| Authorized Official Name | MR. MOHAMMED SIRAJUL HAQ (OWNER) |
| Authorized Official Telephone | 3138198155 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MH045683 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4483371-10 | 05 | |
| LICENSE NUMBER | MH045683 | 01 |
| Other Name | Type Code |
|---|---|
| Van Dyke Medical Center P C | Doing Business As Name - Organization |
| Street Address |
624 E 9 MILE RD |
| City | HAZEL PARK |
| State | MI |
| Zip Code | 48030-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801874516 | Mohammed Sirajul Haq | Internal Medicine | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2006-01-03 |
| 1962016360 | Yassa Pac LLC | Physician Assistant | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2020-09-02 |
| 1730727850 | Dearborn Pain Center Pllc | Internal Medicine | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2019-12-19 |
| 1174995203 | Dearborn Pain Center Pllc | Clinic/Center | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2015-10-28 |
| 1114322559 | Kids First Pediatrics Pllc | Pediatrics | 624 E 9 Mile Rd, Ste 4, Hazel Park, MI 48030-1842 | 2014-10-28 |
| 1881021269 | K Star Enterprises LLC | Pharmacy | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2013-10-01 |
| 1477991545 | Hazel Park Urgent Care Pllc | Clinic/Center | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2013-06-11 |
| 1043557317 | Nemer Hamad | Clinical Ethicist | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2013-01-07 |
| 1992071070 | Tri County Md PC | Family Medicine | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2012-03-22 |
| 1134492499 | Phoenix Rehabilitation Service | Clinic/Center | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2012-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710254511 | Dennis Lee Levine | Family Medicine | 1142 E. 9 Mile Rd, Hazel Park, MI 48030 | 2011-11-22 |
| 1316167471 | Irwin Arnold Goodman | Dentist | 23941 John R., Hazel Park, MI 48030 | 2007-04-30 |
| 1053447490 | Thomas N Weigel Dds PC | Dentist | 23411 John R Street, Hazel Park, MI 48030 | 2007-02-27 |
| 1871668400 | Back In Line Chiropractic PC | Chiropractor | 712 E. 9 Mile Rd, Hazel Park, MI 48030 | 2006-11-21 |
| 1215025796 | Christopher Yon Chang | Physical Medicine & Rehabilitation | 704 E 9 Mile Rd, Hazel Park, MI 48030 | 2006-10-10 |
| 1043320302 | Ashtar Dentistry P.C. | Dentist | 23528 John R. Rd., Hazel Partk, MI 48030 | 2006-08-30 |
| 1477544088 | Musib S Gappy | Internal Medicine | 23411 John R, Hazel Park, MI 48030 | 2005-11-02 |
| 1639210693 | Basima Ykao Ykao-daman | Dentist | 23528 John R. Rd., Hazel Park, MI 48030 | 2007-02-10 |
| 1871674275 | Eye On Health P.C. | Optometrist | 22039 John R Rd, Hazal Park, MI 48030 | 2006-10-18 |
| 1356470520 | Randy Gordon Fillion | Massage Therapist | 98 W Garfield Ave, Hazel Park, MI 48030-1128 | 2007-03-05 |
| Find all providers in zip 48030 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306407440 | Hazel Park Primary Care LLC | Family Medicine | 624 E 9 Mile Rd Ste B, Hazel Park, MI 48030-1842 | 2019-06-27 |
| 1710254511 | Dennis Lee Levine | Family Medicine | 1142 E. 9 Mile Rd, Hazel Park, MI 48030 | 2011-11-22 |
| 1992071070 | Tri County Md PC | Family Medicine | 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 | 2012-03-22 |
| 1386831568 | Patrycja Izabella Czesnowski | Family Medicine | 24503 John R Rd, Hazel Park, MI 48030-1141 | 2007-10-01 |
| 1619023116 | Bi-county Medical Center PC | Family Medicine | 116 W 8 Mile Rd, Hazel Park, MI 48030-2433 | 2007-01-26 |
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|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | HAZEL PARK |
| Zip Code | 48030 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.