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Organization
AHMAD ABDALI HAIDAR MD PA
Active
Organization
AHMAD ABDALI HAIDAR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSON WIRTZ (PROVIDER ENROLLMENT)
(337) 408-0805
Entity
Organization
Contact information
Practice address
600 GOLF COURSE DR., CARRIERE, MS 39426
(601) 699-9846
(601) 799-0052
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 991-9276
(337) 943-0846
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
08/17/2022
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