Provider Demographics
NPI:1881638393
Name:HAIDER, SYED H (MD)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:H
Last Name:HAIDER
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 1:636 S PEEK RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3186
Mailing Address - Country:US
Mailing Address - Phone:832-437-7239
Mailing Address - Fax:832-787-1185
Practice Address - Street 1:636 S PEEK RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3186
Practice Address - Country:US
Practice Address - Phone:832-437-7239
Practice Address - Fax:832-787-1185
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL74072080N0001X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00043979OtherRAILROAD MEDICARE
TX159423606OtherCSHCN
TX159423601Medicaid
TN8J5402OtherBCBS