| E Haque Llc | |
|
110 Kingsley Ln Suite 209 Norfolk VA 23505-4614 | |
| (757) 489-3911 | |
| Not Available |
| Full Name | E Haque Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 110 Kingsley Ln, Norfolk, Virginia |
| Authorized Official Name and Position | Etheshamul Haque (PRESIDENT) |
| Authorized Official Contact | 7574893911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E Haque Llc 1443 N Veaux Loop Norfolk VA 23509-1259 Ph: (757) 627-4333 | E Haque Llc 110 Kingsley Ln Suite 209 Norfolk VA 23505-4614 Ph: (757) 489-3911 |
| NPI Number | 1033276688 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033276688 | NPI | - | NPPES |
| 5862345 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101231617 (Virginia) | Primary |
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