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NPI Code Detail

MEDICARE: HAIDER BIN KHALID MD

MEDICARE: HAIDER BIN KHALID 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1588416192
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAIDER BIN KHALID MD
Provider Business Mailing Address
First Line : GEISINGER WYOMING VALLEY MEDICAL CENTER
Second Line : 1000 EAST MOUNTAIN BLVD
City : WILKES-BARRE
State : PA
Zip : 18711-0027
Country : US
Telephone Number : 570-808-2242
Fax Number :
Provider Business Practice Location Address
First Line : GEISINGER WYOMING VALLEY MEDICAL CENTER
Second Line : 1000 EAST MOUNTAIN BLVD
City : WILKES-BARRE
State : PA
Zip : 18711-0027
Country : US
Telephone Number : 570-808-2242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2024
Last Update Date : 06/26/2024

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Directions to “ HAIDER BIN KHALID MD” Practice Location

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