NPI 1104079607

Mansoor Ul Haq, MD

Practitioner Hematology & Oncology Physician Fenton, MO

Practice location

Address: 1011 Bowles Ave STE G50, Fenton, MO 63026-0562
Phone: (636) 496-4640
Mailing address: PO Box 955534, Saint Louis, MO 63195-5534

Registered specialties (3)

Hematology & Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RH0003X Licence 2017014864 (MO)

Other Internal Medicine providers in Missouri →

Hematology & Oncology Physician

Allopathic & Osteopathic Physicians Taxonomy 207RH0003X Licence 036.135192 (IL)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1104079607
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2008
Record last updated: 12 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.