Provider Demographics
NPI:1487385969
Name:HUQ, ANJA F (DC)
Entity type:Individual
Prefix:DR
First Name:ANJA
Middle Name:F
Last Name:HUQ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 SEAPORT CT STE 103
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-5574
Mailing Address - Country:US
Mailing Address - Phone:650-260-4655
Mailing Address - Fax:
Practice Address - Street 1:505 SEAPORT CT STE 103
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-5574
Practice Address - Country:US
Practice Address - Phone:650-260-4655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34449111NR0400X, 111N00000X, 111NN0400X, 111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NN0400XChiropractic ProvidersChiropractorNeurology
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor