MEDICARE: HAIDER JAVED WARRAICH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	260953	MA
2	207RC0000X	Cardiovascular Disease Physician	260953	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538442082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAIDER JAVED WARRAICH M.D.

Provider Business Mailing Address
First Line	:	375 BOYLSTON ST
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02445-6007
Country	:	US
Telephone Number	:	857-307-0896
Fax Number	:	857-307-0899

Provider Business Practice Location Address
First Line	:	330 BROOKLINE AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02215-5400
Country	:	US
Telephone Number	:	617-667-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2011
Last Update Date	:	02/18/2026

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