Active NPI
Tania Haque
- Internal Medicine Physician
- Richmond, VA
National Provider Identifier
1497922397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 7673484-1205
- Practice address
- Hunter Holmes McGuaire VA Medical Ctr
1201 Broad Rock Blvd,Primary Care (Blue Clinic )
Richmond, VA 23249-7606 - Phone
- (804) 675-5000
- Fax
- (804) 675-6128
- NPI assigned
- May 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 7673484-1205 | UT | Primary |
Addresses
Primary practice location
Hunter Holmes McGuaire VA Medical Ctr
1201 Broad Rock Blvd,Primary Care (Blue Clinic )
Richmond, VA 23249-7606
Mailing address
4949 Westward Ter
Glen Allen, VA 23059-5788
Phone (561) 847-1786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120727000190 | TX | Order and Referring Only - Internal Medicine | 6305002858 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7673484-1205 | UT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1497922397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4949 WESTWARD TER",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595788",
"telephone_number": "561-847-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HUNTER HOLMES MCGUAIRE VA MEDICAL CTR",
"address_2": "1201 BROAD ROCK BLVD,PRIMARY CARE (BLUE CLINIC )",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232497606",
"telephone_number": "804-675-5000",
"fax_number": "804-675-6128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAQUE",
"first_name": "TANIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-11",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "7673484-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.