MEDICARE: ADORE WELLNESS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1386578938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADORE WELLNESS INC.

Provider Business Mailing Address
First Line	:	584 CASTRO ST # 2677
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-2512
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5214F DIAMOND HEIGHTS BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94131-2175
Country	:	US
Telephone Number	:	415-625-3538
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TAHIA HAQUE
Credential	:	MD
Telephone Number	:	415-625-3538

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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