Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Laique Imtiaz, MD

Individual provider Family Medicine Physician · NPI 1942865407

Dr. Laique Imtiaz, MD is a Family Practice in Scranton, Pennsylvania. Qualified in 2015, 11 years ago. Offers telehealth. Licensed in New York and Pennsylvania.

Years since qualifying
11
Licensed in
NY, PA
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 N Washington Ave Fl 1
Scranton, PA 18503-1841
Phone: (570) 343-2383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD478948 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 318421 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942865407
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2019
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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