Healthcare Provider Details

I. General information

NPI: 1962615286
Provider Name (Legal Business Name): SYED SHABBIR HAIDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 W PITTSBURGH ST
GREENSBURG PA
15601-2239
US

IV. Provider business mailing address

532 W PITTSBURGH ST
GREENSBURG PA
15601-2239
US

V. Phone/Fax

Practice location:
  • Phone: 724-832-4000
  • Fax:
Mailing address:
  • Phone: 724-832-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD435727
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD435727
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: