Tahmina Haq Md | |
631 S Brookhurst St Ste 214 Anaheim CA 92804-3558 | |
(714) 545-5200 | |
Not Available |
Full Name | Tahmina Haq Md |
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Speciality | Internal Medicine |
Location | 631 S Brookhurst St Ste 214, Anaheim, California |
Authorized Official Name and Position | Tahmina Sultana Haq (PRESIDENT) |
Authorized Official Contact | 3104877468 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tahmina Haq Md 631 S Brookhurst St Ste 214 Anaheim CA 92804-3558 Ph: () - | Tahmina Haq Md 631 S Brookhurst St Ste 214 Anaheim CA 92804-3558 Ph: (714) 545-5200 |
NPI Number | 1912606690 |
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Provider Enumeration Date | 03/01/2023 |
Last Update Date | 03/01/2023 |
Medicare PECOS PAC ID | 6608240957 |
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Medicare Enrollment ID | O20230328001438 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912606690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
207RI0008X | Internal Medicine - Hepatology | (* (Not Available)) | Secondary |
Provider Name | Tahmina S Haq |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1538332853 PECOS PAC ID: 1850565466 Enrollment ID: I20151104002393 |
Provider Name | Amna Farrukh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992577803 PECOS PAC ID: 0547608358 Enrollment ID: I20240328004005 |
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