Basic Information
Provider Information
NPI: 1962615286
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAIDER
FirstName: SYED
MiddleName: SHABBIR
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 532 W PITTSBURGH ST
Address2:  
City: GREENSBURG
State: PA
PostalCode: 156012239
CountryCode: US
TelephoneNumber: 7248324000
FaxNumber:  
Practice Location
Address1: 532 W PITTSBURGH ST
Address2:  
City: GREENSBURG
State: PA
PostalCode: 156012239
CountryCode: US
TelephoneNumber: 7248324000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/07/2007
LastUpdateDate: 07/29/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001XMD435727PAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200XMD435727PAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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