MEDICARE: SAJJAD HAIDER M.D.

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	207RI0011X	Interventional Cardiology Physician	U2703	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396091104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAJJAD HAIDER M.D.

Provider Business Mailing Address
First Line	:	2800 E BROAD ST STE 522
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-6417
Country	:	US
Telephone Number	:	682-242-8970
Fax Number	:	214-947-8668

Provider Business Practice Location Address
First Line	:	2800 E BROAD ST STE 522
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-6417
Country	:	US
Telephone Number	:	682-242-8970
Fax Number	:	214-947-8668

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

Provider Enumeration Date	:	07/30/2012
Last Update Date	:	03/04/2026

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