Haque, Ehteshamul

Haque, Ehteshamul is an sole proprietor health care provider with primary practice located at 1443 N Veaux Loop , Norfolk VA 23509-1259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Haque, Ehteshamul can be contacted via phone (757) 627-3898.

Contact Information

Primary practice address
1443 N Veaux Loop Norfolk VA 23509-1259
Phone: (757) 627-3898
Fax: (757) 627-0054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101231617 Virginia

Profile Details

NPI number 1538130810
LBN Legal business name Haque, Ehteshamul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Jan 12th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538130810 NPPES
Other 461932 ANTHEM BC
Other 58013 ANTHEM BC
MEDICAID 5862345 ANTHEM BC

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