Provider Demographics
NPI:1467275230
Name:LEFTA, HAYDER
Entity type:Individual
Prefix:
First Name:HAYDER
Middle Name:
Last Name:LEFTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 DUBUQUE ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-5526
Mailing Address - Country:US
Mailing Address - Phone:603-289-4836
Mailing Address - Fax:
Practice Address - Street 1:64 DUBUQUE ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-5526
Practice Address - Country:US
Practice Address - Phone:603-289-4836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver