DR. EJAZUL HAQUE MD
NPI 1972355212
Student in an Organized Health Care Education/Training Program in Wilkes Barre, PA

Q: What is Ejazul Haque's NPI number?

The NPI number for Ejazul Haque is 1972355212. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Q: What is Ejazul Haque's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ejazul Haque was last updated on April 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 02, 2024PECOS Enrolled

166 HANOVER ST STE 200, WILKES BARRE, PA 18702(570) 808-5674 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Ejazul Haque Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EJAZUL HAQUE MD (NPI 1972355212) is an individual student in an organized health care education/training program in Wilkes Barre, Pennsylvania and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972355212

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. EJAZUL HAQUECredential: MD

Location Address166 HANOVER ST STE 200Wilkes Barre, PA 18702-3544

Mailing Address166 Hanover St Ste 200Wilkes Barre, PA 18702-3544 · (570) 808-5674

Phone(570) 808-5674

Sole ProprietorNo

Enumeration DateApril 2, 2024

NPPES CertifiedMarch 29, 2024

✔ NPI 1972355212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

166 HANOVER ST STE 200, Wilkes Barre, PA 18702

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ejazul Haque Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.