Healthcare Provider Details

I. General information

NPI: 1477970119
Provider Name (Legal Business Name): HAIDER EYBDA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: GLOBAL MEDICAL TRANSPORTATION

II. Dates (important events)

Enumeration Date: 03/19/2014
Last Update Date: 03/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24130 TELEGRAPH RD
SOUTHFIELD MI
48033-3020
US

IV. Provider business mailing address

24130 TELEGRAPH RD
SOUTHFIELD MI
48033-3020
US

V. Phone/Fax

Practice location:
  • Phone: 248-469-4673
  • Fax: 248-223-0894
Mailing address:
  • Phone: 248-469-4673
  • Fax: 248-223-0894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: