Provider Demographics
NPI:1700343555
Name:HAIDER, SYED ABBAS (DO)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:ABBAS
Last Name:HAIDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:SYED
Other - Middle Name:
Other - Last Name:HAIDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:5445 LANARK RD STE 103
Mailing Address - Street 2:
Mailing Address - City:CENTER VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18034-8694
Mailing Address - Country:US
Mailing Address - Phone:484-526-7035
Mailing Address - Fax:
Practice Address - Street 1:5445 LANARK RD STE 103
Practice Address - Street 2:
Practice Address - City:CENTER VALLEY
Practice Address - State:PA
Practice Address - Zip Code:18034-8694
Practice Address - Country:US
Practice Address - Phone:484-526-7035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-28
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS023019207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine