Provider Demographics
NPI:1083221857
Name:HAYDAR HEALTHCARE
Entity Type:Organization
Organization Name:HAYDAR HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZEBA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYDAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-260-5759
Mailing Address - Street 1:10852 FOX COVE DR
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-2737
Mailing Address - Country:US
Mailing Address - Phone:614-260-5759
Mailing Address - Fax:
Practice Address - Street 1:10852 FOX COVE DR
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-2737
Practice Address - Country:US
Practice Address - Phone:614-260-5759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service