Provider Demographics
NPI:1265965487
Name:HAIDER, GHANI (MBBS)
Entity type:Individual
Prefix:MR
First Name:GHANI
Middle Name:
Last Name:HAIDER
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 EAST NEWTON STREET, ROBINSON BUILDING, 4TH FLOOR
Mailing Address - Street 2:BOSTON MEDICAL CENTER, DEPARTMENT OF NEUROSURGERY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118
Mailing Address - Country:US
Mailing Address - Phone:617-638-8992
Mailing Address - Fax:617-638-8979
Practice Address - Street 1:725 ALBANY STREET, SHAPIRO CENTER, 7TH FLOOR, SUITE 7C
Practice Address - Street 2:BOSTON MEDICAL CENTER, NEUROSURGERY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-638-8992
Practice Address - Fax:617-638-8979
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2017-11-09
Deactivation Date:2017-11-09
Deactivation Code:
Reactivation Date:2017-11-09
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program