Provider Demographics
NPI:1093811341
Name:HOQUE, MOHAMMAD E (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:E
Last Name:HOQUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4523 FAIRWAY DOWNS CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312
Mailing Address - Country:US
Mailing Address - Phone:202-498-1307
Mailing Address - Fax:703-717-4501
Practice Address - Street 1:1625 N GEORGE MASON DR
Practice Address - Street 2:344
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3683
Practice Address - Country:US
Practice Address - Phone:703-717-4500
Practice Address - Fax:703-717-4501
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD32822207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H40616Medicare UPIN