Individual provider · NPI-1

Dr. Tahmina Haque Brady, M.D.

Family Medicine · Forest, VA

NPI number1255714598
StatusActive
Last updated in NPPESDec 1, 2018

Details

NPI
1255714598
Entity type
Individual (NPI-1)
Name
Dr. Tahmina Haque Brady
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 6, 2015
Last updated
Dec 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0101265635VAYes
390200000X Student in an Organized Health Care Education/Training Program0116028644VA

Practice location

16890 Forest Rd
Forest, VA 24551-4059

Phone 202-714-1174

Mailing address

922 Main St Apt 403
Lynchburg, VA 24504-1626

Phone 202-714-1174

Other practice locations

2323 Memorial Ave
Suite #10
Lynchburg, VA 24501-2661

Phone 434-200-5200 · Fax 434-200-5213

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