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NPI Code Detail

MEDICARE: ABDULLAH TAMIN HAIDER M.D.

MEDICARE: ABDULLAH TAMIN 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
1207Q00000XFamily Medicine PhysicianME146687FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2FH102623OTHERFLDEA LIC

General Provider Information

NPI Number : 1730156936
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDULLAH TAMIN HAIDER M.D.
Provider Business Mailing Address
First Line : 101 RIVERFRONT BLVD STE 710
Second Line :
City : BRADENTON
State : FL
Zip : 34205-8812
Country : US
Telephone Number : 941-776-4000
Fax Number : 877-369-2391
Provider Business Practice Location Address
First Line : 1312 MANATEE AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34208-1358
Country : US
Telephone Number : 941-708-8700
Fax Number : 941-708-8706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 05/01/2024

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