DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TALIA E HAIDERZAD M.D.

MEDICARE: TALIA E HAIDERZAD 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
12084P0800XPsychiatry PhysicianM103571MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1255217OTHERVALUE OPTIONS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
411060304OTHERCAQH

General Provider Information

NPI Number : 1669572871
Entity Type Code : Individual
Provider Name (Legal Business Name) : TALIA E HAIDERZAD M.D.
Provider Business Mailing Address
First Line : PO BOX 280
Second Line :
City : POPLAR BLUFF
State : MO
Zip : 63902-0280
Country : US
Telephone Number : 573-686-1200
Fax Number : 573-686-1029
Provider Business Practice Location Address
First Line : 3001 WARRIOR LN
Second Line :
City : POPLAR BLUFF
State : MO
Zip : 63901-8685
Country : US
Telephone Number : 573-686-1200
Fax Number : 573-686-1029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 01/21/2009

Similar Medicare Providers

1376493726 — HOLLY UNDERWOOD
Practice Location Address:
3001 WARRIOR LN
POPLAR BLUFF, MO
63901-8685
Practice Phone: 573-686-1200
Practice Fax:
1083638506 — MISS ROBIN DENISE VICKERY LPC
Practice Location Address:
3001 WARRIOR LN
POPLAR BLUFF, MO
63901-8685
Practice Phone: 573-686-1200
Practice Fax: 573-686-1029
1013024454 — MS. LYDIA ALPHA MABBITT LPC
Practice Location Address:
3001 WARRIOR LN
POPLAR BLUFF, MO
63901-8685
Practice Phone: 573-686-1200
Practice Fax: 573-686-1029
1750433256 — RAVDEEP S KHANUJA M.D.
Practice Location Address:
3001 WARRIOR LN
POPLAR BLUFF, MO
63901-8685
Practice Phone: 573-686-1200
Practice Fax: 573-686-1029
1417088220 — MISS MARY BETH HALDEMAN LPC
Practice Location Address:
3001 WARRIOR LN
POPLAR BLUFF, MO
63901-8685
Practice Phone: 573-686-1200
Practice Fax: 573-686-1029
1366568487 — SHANNAN MEYER LPN
Practice Location Address:
3001 WARRIOR LN
POPLAR BLUFF, MO
63901-8685
Practice Phone: 573-686-1200
Practice Fax:

Directions to “ TALIA E HAIDERZAD M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.