Individual
SHANZAY HAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-8685
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1865
(203) 709-8685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
63638
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
04/13/2016
Last updated
09/03/2020
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