| 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 |