Provider Demographics
NPI:1578906939
Name:HALDAR, SOUNICK (MD)
Entity Type:Individual
Prefix:DR
First Name:SOUNICK
Middle Name:
Last Name:HALDAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4404 CAHABA RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-6832
Mailing Address - Country:US
Mailing Address - Phone:940-293-3490
Mailing Address - Fax:
Practice Address - Street 1:2250 BESSEMER RD STE 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35208-4725
Practice Address - Country:US
Practice Address - Phone:205-382-8265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL35569207R00000X
ALMD.35569207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine