MEDICARE: BUSHRA HAIDER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301508003	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000169074	OTHER		UNISON HEALTH PLAN
2	001653345	OTHER	PA	HIGHMARK BLUE SHIELD
3	1544126	OTHER		GATEWAY HEALTH PLAN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053470526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BUSHRA HAIDER MD

Provider Business Mailing Address
First Line	:	25650 OUTER DR
Second Line	:
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-2096
Country	:	US
Telephone Number	:	313-383-1897
Fax Number	:	313-383-6018

Provider Business Practice Location Address
First Line	:	25650 OUTER DR
Second Line	:
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-2096
Country	:	US
Telephone Number	:	313-383-1897
Fax Number	:	313-383-6092

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	02/18/2026

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Directions to “ BUSHRA HAIDER MD” Practice Location

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