Provider Demographics
NPI:1659766889
Name:ALBANDAR, HEIDAR J (MD)
Entity Type:Individual
Prefix:
First Name:HEIDAR
Middle Name:J
Last Name:ALBANDAR
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 1:701 OSTRUM ST STE 501
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1153
Mailing Address - Country:US
Mailing Address - Phone:484-503-7000
Mailing Address - Fax:484-503-7001
Practice Address - Street 1:701 OSTRUM ST STE 501
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1153
Practice Address - Country:US
Practice Address - Phone:484-503-7000
Practice Address - Fax:484-503-7001
Is Sole Proprietor?:No
Enumeration Date:2015-04-03
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11500500207R00000X
WV28245207R00000X, 207RH0003X
390200000X
PAMD472789207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program