Provider Demographics
NPI:1003559824
Name:HAIDER, MUHAMMAD ADNAN (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD ADNAN
Middle Name:
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 1:902 HUNTINGTON AVE APT 2R
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-2333
Mailing Address - Country:US
Mailing Address - Phone:713-591-3721
Mailing Address - Fax:
Practice Address - Street 1:FLORIDA ATLANTIC UNIVERSITY INTERNAL MEDICINE PROGRAM
Practice Address - Street 2:800 MEADOWS ROAD
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486
Practice Address - Country:US
Practice Address - Phone:561-955-5365
Practice Address - Fax:561-955-3577
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program