Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 02003792A | IN |
NPI | 1124263991 |
---|---|
Provider Name | Dr. Zeshan M Hyder |
First Address | Crown Point, IN 46307-7300 |
Second Address | Crown Point, IN 46307-9177 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2008 |
Last Update Date | 06/05/2021 |