Individual provider · Type 1 NPI

Mansoor Ul Haq, MD

Hematology & Oncology Physician · Fenton, MO

NPI number 1104079607 Active

Practice location

1011 Bowles Ave Ste G50
Fenton, MO 63026-0562

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

  • 1400 Pin Oak Drive, Carterville, IL 62918 · (618) 985-3333

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician 207RH0003X036.135192 (IL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Hematology & Oncology Physician Primary 207RH0003X2017014864 (MO)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1104079607

Mansoor Ul Haq, MD's National Provider Identifier is 1104079607, issued on Oct 28, 2008. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Fenton, MO. The record was last updated on Nov 12, 2020.