Provider Demographics
NPI:1891578852
Name:HAYDER MEDICAL
Entity Type:Organization
Organization Name:HAYDER MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:ZAIN
Authorized Official - Last Name:AYAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-340-1703
Mailing Address - Street 1:213 FREEMAN DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3426
Mailing Address - Country:US
Mailing Address - Phone:312-340-1703
Mailing Address - Fax:
Practice Address - Street 1:213 FREEMAN DR
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3426
Practice Address - Country:US
Practice Address - Phone:312-340-1703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty