MEDICARE: DR. SALMA SHAMUSUL HAQUE M.D.

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	207R00000X	Internal Medicine Physician	0101244331	VA

General Provider Information

NPI Number	:	1821265059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALMA SHAMUSUL HAQUE M.D.

Provider Business Mailing Address
First Line	:	300 N WASHINGTON ST STE 304F
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22046-3441
Country	:	US
Telephone Number	:	703-646-9195
Fax Number	:	703-746-6388

Provider Business Practice Location Address
First Line	:	300 N WASHINGTON ST STE 304F
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22046-3441
Country	:	US
Telephone Number	:	703-646-9195
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	11/27/2023

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