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NPI Code Detail

MEDICARE: DR. SAID N ABOU HAIDAR MD

MEDICARE: DR. SAID N ABOU HAIDAR 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
12084P0800XPsychiatry Physician35057464OH

Other Identifiers

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

General Provider Information

NPI Number : 1952487712
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAID N ABOU HAIDAR MD
Provider Business Mailing Address
First Line : 223 MILLER RD
Second Line :
City : AVON LAKE
State : OH
Zip : 44012-1004
Country : US
Telephone Number : 440-930-2002
Fax Number : 440-930-2085
Provider Business Practice Location Address
First Line : 223 MILLER RD
Second Line :
City : AVON LAKE
State : OH
Zip : 44012-1004
Country : US
Telephone Number : 440-930-2002
Fax Number : 440-930-2085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 07/09/2007

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Directions to “ DR. SAID N ABOU HAIDAR MD” Practice Location

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