Provider Demographics
NPI:1609033810
Name:HAIDER, HUMA (MD)
Entity Type:Individual
Prefix:
First Name:HUMA
Middle Name:
Last Name:HAIDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4747 BELLAIRE BLVD
Mailing Address - Street 2:STE# 580
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4527
Mailing Address - Country:US
Mailing Address - Phone:713-659-3284
Mailing Address - Fax:713-664-2534
Practice Address - Street 1:4747 BELLAIRE BLVD
Practice Address - Street 2:STE# 580
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4527
Practice Address - Country:US
Practice Address - Phone:713-659-3284
Practice Address - Fax:713-664-2534
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0399207L00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX315115106Medicaid
TX8EA792OtherBLUE CROSS BLUE SHIELD
TX315115107Medicaid
TX275007YK6UMedicare PIN