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General NPI Number Information
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NPI Number | 1932185253
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Entity Type | Individual
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Provider Name | WAEL N HAIDAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 03/21/2014
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Provider Practice Location Address
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Address Line | 1111 6TH AVE
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City | DES MOINES
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State | IA
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Zip | 50314-2613
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Country | US
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Telephone | 515-247-4240
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Fax | 515-247-4239
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Provider Business Mailing Address
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Address Line | PO BOX 1475
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City | DES MOINES
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State | IA
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Zip | 50305-1475
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Country | US
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Telephone | 515-247-4240
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Fax | 515-247-4239
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 36200
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 36200
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD-36200
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License Number State | IA
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