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Contact Information

MOHAMMAD Z HOQUE, MD
1116 N 16TH ST
SUITE A
LAFAYETTE, IN47904-2119
 Phone: 765-448-8000
 Fax: 765-448-8054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MOHAMMAD Z HOQUE · (Male)

NPI Number 1124048913
Status Active
Credentials MD
Entity Individual
Enumeration date 07/21/2006
Last updated 01/14/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01074113A
  • NE License # 27466
  • IN Medicaid 201227500
  • NC Medicaid 5905041
  • IN Other 000000876778 ANTHEM PROVIDER NUMBER
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL - (Acute Care)
    5165 MCCARTY LN
    LAFAYETTE, IN 47905
  • INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL - (Critical Access)
    720 SOUTH SIXTH ST
    MONTICELLO, IN 47960
  • ST VINCENT FRANKFORT HOSPITAL INC - (Critical Access)
    1300 S JACKSON ST
    FRANKFORT, IN 46041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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