Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0101240675 | VA |
N | 207QA0401X | Family Doctor - Addiction Medicine | 0101240675 | VA |
N | 207QA0505X | Family Doctor - Adult Medicine | 0101240675 | VA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 0101240675 | VA |
NPI | 1740470483 |
---|---|
Provider Name | Dr. Haroon Syed Hyder |
First Address | Richmond, VA 23229-6053 |
Second Address | Richmond, VA 23229-6053 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 23/03/2009 |