MR. MAX MAHFUZUL HAQUE (NPI# 1700884111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700884111 |
| Entity Type | Individual |
| Full Name | MR. MAX MAHFUZUL HAQUE |
| Credential | M.D. |
| Practice Address |
1389 W Hunter St Logan OH 43138-1013 |
| Mailing Address |
Po Box 228 Logan OH 43138-0228 |
| Practice Telephone | 7403852197 |
| Practice Fax Number | 7403859197 |
| Mailing Telephone | 7403804181 |
| Mailing Fax Number | 7403850865 |
| Enumeration Date | 2005-07-09 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35-07-0607-H | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2050999 | 05 | |
| OH | STATE LICENSE | 35070607H | 01 |
| Street Address |
1389 W HUNTER ST |
| City | LOGAN |
| State | OH |
| Zip Code | 43138-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538667696 | Kelsey Whalen | Social Worker | 541 Sr 93 N, Suite C, Logan, OH 43138 | 2018-01-24 |
| 1144728205 | Raeann Harry-boothe | Counselor | 313 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
| 1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
| 1841735800 | Coler Drug Logan, Ltd | Durable Medical Equipment & Medical Supplies | 21 Hocking Mall, Logan, OH 43138 | 2016-12-30 |
| 1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
| 1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
| 1194138651 | Diles Logan Hearing Center, L.L.C. | Audiologist | 1323 West Hunter Street, Logan, OH 43138 | 2014-06-03 |
| 1205252210 | Shaun Crisp | Occupational Therapy Assistant | 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 | 2014-03-14 |
| 1467780056 | Natalie Simpson | Licensed Practical Nurse | 583 E Second St, Logan, OH 43138 | 2009-11-20 |
| 1821243262 | Angela Rose Hartbarger | Counselor | 541 St. Rt. 664, Suite C, Logan, OH 43138 | 2008-11-26 |
| Find all providers in zip 43138 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427357870 | Eric Max Barker | Psychiatry & Neurology | 1350 N 500 E Dept Of, Logan, UT 84341 | 2011-03-24 |
| 1053339135 | Antonio R Diaz Jr. | Psychiatry & Neurology | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2006-07-17 |
| 1255758793 | Phillip Brown Gunnell | Psychiatry & Neurology | 1350 N 500 E, Logan, UT 84341-2400 | 2014-03-22 |
| 1467705087 | Ihc Health Services Inc | Psychiatry & Neurology | 1350 N 500 E, Ste 250, Logan, UT 84341-2400 | 2012-10-19 |
| 1346530524 | Samuel Weber | Psychiatry & Neurology | 1350 N 500 E, Logan, UT 84341-2400 | 2011-04-08 |
| 1558478115 | Lisa A Fraleigh | Psychiatry & Neurology | 112 E 100 N, Suite A, Logan, UT 84321-4638 | 2006-08-23 |
| 1679592075 | John J Aziz | Psychiatry & Neurology | 601 State Route 664 N, Logan, OH 43138-8541 | 2006-07-18 |
| 1982648929 | Brian Longhurst Merrill | Psychiatry & Neurology | 1300 N 500 E, Suite 330, Logan, UT 84341-2408 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493251 | Holly Mycroft | Psychiatry & Neurology | 5603 Congressional Pl Apt F, Hilliard, OH 43026-4308 | 2020-09-29 |
| 1770108698 | Christine Yammarino | Psychiatry & Neurology | 24700 Lorain Rd Ste 303, North Olmsted, OH 44070-2069 | 2020-06-16 |
| 1669003281 | James Roger Nicholas | Psychiatry & Neurology | 11170 Maple Knoll Ter Unit L215, Cincinnati, OH 45246-4154 | 2020-02-02 |
| 1407406697 | New Life Ketamine Clinic LLC | Psychiatry & Neurology | 7905 Schatz Pointe Dr Ste 100, Dayton, OH 45459-3856 | 2019-09-19 |
| 1164081063 | Reynolds Behavioral Health LLC | Psychiatry & Neurology | 1649 N Reynolds Rd, Toledo, OH 43615-3625 | 2019-06-13 |
| 1326509217 | Marian Louise Brown | Psychiatry & Neurology | 14877 Stonehaven Dr, Perrysburg, OH 43551-9537 | 2019-03-25 |
| 1912470303 | Alleviant of Akron | Psychiatry & Neurology | 1000 S Cleveland Massillon Rd Ste 1, Akron, OH 44333-9204 | 2019-01-08 |
| 1710456025 | Wissam Hoteit Md LLC | Psychiatry & Neurology | 4841 Yosemite Pkwy, Sylvania, OH 43560-4341 | 2018-11-15 |
| 1215435367 | Psychiatric Services of Toledo, Inc | Psychiatry & Neurology | 2204 N Reynolds Rd, Toledo, OH 43615-2814 | 2018-01-23 |
| 1720508146 | Keystone Psychiatry, Inc. | Psychiatry & Neurology | 5920-e Wilcox Pl, Dublin, OH 43016-6802 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. MAX MAHFUZUL HAQUE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.