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

Dr. Mansoor Ul Haq, MD

Individual provider Hematology & Oncology Physician · NPI 1104079607

Dr. Mansoor Ul Haq, MD is a Hematology/Oncology in Fenton, Missouri. Qualified in 2002, 24 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
24
Licensed in
IL, MO
In the registry since
2008
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

1011 Bowles Ave Ste G50
Fenton, MO 63026-0562
Phone: (636) 496-4640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 2017014864 (MO)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 036.135192 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104079607
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 28, 2008
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020
Mailing addressPo Box 955534, Saint Louis, MO 63195-5534

Medicare enrollment

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

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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