Provider Demographics
NPI:1851658694
Name:BANGASH, HAIDER K (MD)
Entity Type:Individual
Prefix:DR
First Name:HAIDER
Middle Name:K
Last Name:BANGASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2950 CULLEN BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3922
Mailing Address - Country:US
Mailing Address - Phone:281-412-6262
Mailing Address - Fax:281-412-6740
Practice Address - Street 1:430 S MASON RD STE 101
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2448
Practice Address - Country:US
Practice Address - Phone:281-392-3803
Practice Address - Fax:281-392-6766
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS5317207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology