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NPI Code Detail

MEDICARE: DR. HAIDER K BANGASH M.D.

MEDICARE: DR. HAIDER K BANGASH 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
1207N00000XDermatology PhysicianS5317TX

General Provider Information

NPI Number : 1851658694
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAIDER K BANGASH M.D.
Provider Business Mailing Address
First Line : 801 YORK ST
Second Line :
City : MANITOWOC
State : WI
Zip : 54220-4630
Country : US
Telephone Number : 920-663-9008
Fax Number : 920-684-1439
Provider Business Practice Location Address
First Line : 2051 GREENHOUSE RD STE 270
Second Line :
City : HOUSTON
State : TX
Zip : 77084-7573
Country : US
Telephone Number : 281-665-4444
Fax Number : 281-392-6766
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2012
Last Update Date : 06/10/2025

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