Provider Demographics
NPI:1730574443
Name:HORIZON INTERNAL MEDICINE
Entity type:Organization
Organization Name:HORIZON INTERNAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:IMRAN
Authorized Official - Middle Name:PASHA
Authorized Official - Last Name:HAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-610-1300
Mailing Address - Street 1:138 DUBLIN SQUARE RD
Mailing Address - Street 2:B
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-8600
Mailing Address - Country:US
Mailing Address - Phone:336-610-1300
Mailing Address - Fax:
Practice Address - Street 1:138 DUBLIN SQUARE RD
Practice Address - Street 2:B
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-8600
Practice Address - Country:US
Practice Address - Phone:336-610-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5007555261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center