Shan E Ali Haider
Critical Care Medicine Vascular Surgeon
20410 Observation Dr Suite 100
Germantown
, Maryland 20876-4000
Shan E Ali Haider
Critical Care Medicine Vascular Surgeon
20410 Observation Dr Suite 100
Germantown
, Maryland 20876-4000
(301) 330-9108
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About
Features
Specialties
- Critical Care Medicine
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Shan E Ali Haider
- 20410 Observation Dr Suite 100
- Germantown, MD
- Zip : 20876-4000
- Fax : (301) 330-9108
- Phone : (301) 330-1000
Second Address
- Shan E Ali Haider
- 20410 Observation Dr Suite 100
- Germantown, MD
- Zip : 20876-4000
- Fax : (301) 330-9108
- Phone : (301) 330-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0200X | Critical Care Medicine | MD428261 | PA |
| Y | 2086S0129X | Vascular Surgeon | D0066276 | MD |
National Provider Identifier
| NPI | 1174613418 |
|---|---|
| Provider Name | Shan E Ali Haider |
| First Address | Germantown, MD 20876-4000 |
| Second Address | Germantown, MD 20876-4000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 14/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 056151700 | (05) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.