M. EMDADUL HAQUE MD PA NPI 1073773214

NPI Information

  • NPI: 1073773214
  • Provider Name: M. EMDADUL HAQUE MD PA
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 412 PALMETTO ST
    NEW SMYRNA BEACH, FL
    ZIP 32168
  • Phone: (386) 427-4752

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NPI Details

M. EMDADUL HAQUE MD PA is a pain medicine anesthesiology in New Smyrna Beach, FL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. M. EMDADUL HAQUE MD PA NPI is 1073773214. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

412 PALMETTO ST
NEW SMYRNA BEACH, FL
ZIP 32168-361
Phone: (386) 427-4752

The provider's authorized official is M. Emdadul Haque .
The authorized official title is Owner and has the following contact phone number (386) 427-4752.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 6/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineME0076036FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E0794MEDICARE PINFLORIDA
2G71931MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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