Healthcare Provider Details

I. General information

NPI: 1912002403
Provider Name (Legal Business Name): SAJJAD HAIDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 06/12/2023
Certification Date: 06/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 STONER AVE
WESTMINSTER MD
21157-5647
US

IV. Provider business mailing address

14775 MCCANN FARM RD
WOODBINE MD
21797-8602
US

V. Phone/Fax

Practice location:
  • Phone: 410-871-6400
  • Fax:
Mailing address:
  • Phone: 304-388-8380
  • Fax: 304-388-8395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number27397
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberD93388
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: