Provider Demographics
NPI:1538332853
Name:HAQ, TAHMINA (MD)
Entity Type:Individual
Prefix:DR
First Name:TAHMINA
Middle Name:
Last Name:HAQ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16671 YORBA LINDA BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-2025
Mailing Address - Country:US
Mailing Address - Phone:714-985-6400
Mailing Address - Fax:714-985-6425
Practice Address - Street 1:16671 YORBA LINDA BLVD STE 100
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886
Practice Address - Country:US
Practice Address - Phone:714-985-6400
Practice Address - Fax:714-985-6425
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-08
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA116126207R00000X, 207RI0008X, 207RG0100X
NV14096207R00000X
CODR.0070328207RG0100X, 207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology