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

Maryam Asma Haque

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710679485

Maryam Asma Haque is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Licensed in California and Minnesota. Registered with an NPI since 2023.

Licensed in
CA, MN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

636 Broadway St NE
Minneapolis, MN 55413-2164
Phone: (612) 746-1530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D15326 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1710679485
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address13555 Flagstaff Ave, Apple Valley, MN 55124-7957

Other providers in Minneapolis