Ehteshamul Haque, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101231617 Issued in VA

Practice address

1443 N Veaux Loop
Norfolk, VA 23509-1259

Phone

(757) 627-3898

Fax

(757) 627-0054

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lafayette Psychiatric Services

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1427182815
  NPD (past)
• Stedman-Wade Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wade, NC
  • NPI 1578534871
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200096000000",
    "number": "1538130810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 NORTH VEAUX LOOP",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235091259",
            "telephone_number": "757-627-3898",
            "fax_number": "757-627-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 N VEAUX LOOP",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235091259",
            "telephone_number": "757-627-3898",
            "fax_number": "757-627-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "EHTESHAMUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101231617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "461932",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA OPTIMA",
            "identifier": "58013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5862345",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Hannon, RD
• Cynthia A Hansen, LCSW
• Michelle Lee Hansen, LPTA
• Robert Blaine Hansen, MD
• Happy to Be Home Healthcare, L.L.C
• Imadul Haque, MD
• Harbor Point Behavioral Health Center Inc (Kempsville Center for Behavioral Health Center)
• Harbor Point Behavioral Health Center Inc (Kempsville Center for Behavioral Health Center)
• Harbor Point Behavioral Health Center Inc (Kempsville Center for Behavioral Health)
• Kristin Lynn Hardee, LPC

• Internal Medicine Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.