Haque, Mosta Gausel
Haque, Mosta Gausel is an sole proprietor health care provider with primary practice located at 301 Goode Way Suite 201, Portsmouth VA 23704-2266. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Haque, Mosta Gausel can be contacted via phone (757) 397-0700.Contact Information
Primary practice address
301 Goode Way Suite 201
Portsmouth VA 23704-2266
Phone: (757) 397-0700
Fax: (757) 397-8751
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101-048420 | Virginia |
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 0101-048420 | Virginia |
Profile Details
NPI number | 1164465639 |
---|---|
LBN Legal business name | Haque, Mosta Gausel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 13th, 2006 |
Last updated | Feb 13th, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164465639 | NPPES |
Virginia | MEDICAID | 010236801 | |
Virginia | Other | 187692 | |
Virginia | Other | P00273296 |
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