Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 33725 | KY |
N | 111NI0900X | Internist | 33725 | KY |
N | 207RH0000X | Hematologist | 33725 | KY |
Y | 207RH0003X | Hematology & Oncology | 036.139044 | IL |
N | 207RH0003X | Hematology & Oncology | 41823 | TN |
NPI | 1477516524 |
---|---|
Provider Name | Dr. Syed Noman Haider |
First Address | Zion, IL 60099 |
Second Address | Zion, IL 60099 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 09/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11341 | BCBS OF NC (01) | NC |
8911341 | (05) | NC |
G69886 | (02) | NC |