Organization
MOSTA G HAQUE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSTA G HAQUE M.D. (PRESIDENT)
(757) 397-0700
Entity
Organization
Contact information
Practice address
301 GOODE WAY, SUITE 201, PORTSMOUTH, VA 23704-2266
(757) 397-0700
(757) 397-8751
Mailing address
301 GOODE WAY, SUITE 201, PORTSMOUTH, VA 23704-2266
(757) 397-0700
(757) 397-8751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101-048420
VA
207RN0300X
Nephrology Physician
Primary
0101-048420
VA
Other
Enumeration date
05/07/2007
Last updated
02/14/2013
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