Individual
JOHUM AZIZ HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
96 15TH ST NW STE 106, NORTON, VA 24273-1600
(276) 679-2141
Mailing address
96 15TH ST NW STE 106, NORTON, VA 24273-1600
(276) 679-2141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116037587
VA
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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