Richards, Tanique O.
Richards, Tanique O. is an individual health care provider with primary practice located at 1625 N George Mason Dr Suite 425, Arlington VA 22205-3683. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Richards, Tanique O. can be contacted via phone (703) 717-4400.Contact Information
Primary practice address
1625 N George Mason Dr Suite 425
Arlington VA 22205-3683
Phone: (703) 717-4400
Fax: (703) 717-4401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2012-01122 | North Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2012-01122 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101257194 | Virginia |
Profile Details
| NPI number | 1861537540 |
|---|---|
| LBN Legal business name | Richards, Tanique O. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Mar 3rd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861537540 | NPPES |
| North Carolina | MEDICAID | 5921222 | |
| North Carolina | MEDICAID | Q0112P |
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