Provider Demographics
NPI:1952895708
Name:WAQAR, HIRRA N/A (DMD)
Entity type:Individual
Prefix:MS
First Name:HIRRA
Middle Name:N/A
Last Name:WAQAR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6420 OLD VINCENNES RD
Mailing Address - Street 2:
Mailing Address - City:FLOYDS KNOBS
Mailing Address - State:IN
Mailing Address - Zip Code:47119-9486
Mailing Address - Country:US
Mailing Address - Phone:812-989-3275
Mailing Address - Fax:
Practice Address - Street 1:1202 DR. MARTIN LUTHER KING JR. WAY
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405
Practice Address - Country:US
Practice Address - Phone:253-442-8720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program