Provider Demographics
NPI:1619045564
Name:SARRAF, HAIDER A (MD)
Entity Type:Individual
Prefix:DR
First Name:HAIDER
Middle Name:A
Last Name:SARRAF
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 1:7651 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-8141
Mailing Address - Country:US
Mailing Address - Phone:410-961-2056
Mailing Address - Fax:410-822-9683
Practice Address - Street 1:219 S WASHINGTON ST
Practice Address - Street 2:EASTON MEMORIAL HOSPITA
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-2913
Practice Address - Country:US
Practice Address - Phone:410-822-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0059762208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
855M607FMedicare ID - Type Unspecified
H88334Medicare UPIN