Individual ProviderImad Ul HaqStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Wyoming St, Dayton, OH 45409-2722(937) 208-8775(937) 520-2795PECOS EnrollmentThis provider is enrolled in PECOS as IMAD HAQ.Based on the most recent information from CMS, provider Imad Ul Haq is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1023864253Provider TypeIndividualFull NameHaq, Imad UlGenderMaleSole ProprietorNoEnumeration Date4/29/2024Last Updated4/29/2024Contact InformationPractice LocationPractice Address1 Wyoming St, Dayton, OH 45409-2722Phone(937) 208-8775FaxUnlisted FaxMailing LocationMailing Address507 Old Harbor Ct, Washingtn Twp, OH 45458-2879Phone(937) 520-2795FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer