Individual
TANIA HAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HUNTER HOLMES MCGUAIRE VA MEDICAL CTR, 1201 BROAD ROCK BLVD,PRIMARY CARE (BLUE CLINIC ), RICHMOND, VA 23249-7606
(804) 675-5000
(804) 675-6128
Mailing address
4949 WESTWARD TER, GLEN ALLEN, VA 23059-5788
(561) 847-1786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7673484-1205
UT
Other
Enumeration date
05/11/2008
Last updated
07/02/2015
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