Individual
IMADUL HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 FAIRFAX AVE # 445, NORFOLK, VA 23507-1914
(757) 446-7934
Mailing address
825 FAIRFAX AVE # 445, NORFOLK, VA 23507-1914
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/25/2024
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