Provider Demographics
NPI:1033859095
Name:HOQUE, TAMANNA
Entity type:Individual
Prefix:
First Name:TAMANNA
Middle Name:
Last Name:HOQUE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 N ALMADEN BLVD UNIT 1001
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95110-2750
Mailing Address - Country:US
Mailing Address - Phone:214-516-8072
Mailing Address - Fax:
Practice Address - Street 1:38 N ALMADEN BLVD UNIT 1001
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95110-2750
Practice Address - Country:US
Practice Address - Phone:214-516-8072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7038213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery