Provider Demographics
NPI:1699810036
Name:HAIDER, SURAIYA KURESHI (MD)
Entity Type:Individual
Prefix:DR
First Name:SURAIYA
Middle Name:KURESHI
Last Name:HAIDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:SURAIYA
Other - Middle Name:AISHA
Other - Last Name:KURESHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2730 PROSPERITY AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4329
Mailing Address - Country:US
Mailing Address - Phone:703-226-2290
Mailing Address - Fax:
Practice Address - Street 1:2730 PROSPERITY AVE
Practice Address - Street 2:SUITE D
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4329
Practice Address - Country:US
Practice Address - Phone:703-226-2290
Practice Address - Fax:703-226-2428
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101254934207QS1201X, 2080S0012X, 2080P0214X
NY241417208000000X
VT042-0011415208000000X
PAMD4293682080P0204X
DCMD0381242080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
No2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine