Healthcare Provider Details

I. General information

NPI: 1801482997
Provider Name (Legal Business Name): ALEEZAY HAIDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2020
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 CEDAR ST NE STE 306 GENERAL SURGERY
ALBUQUERQUE NM
87106-4932
US

IV. Provider business mailing address

PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE NM
87125-6666
US

V. Phone/Fax

Practice location:
  • Phone: 505-253-6100
  • Fax: 505-563-1010
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD2026-0400
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: