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Individual

AGHA W HAIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
909 HIOAKS RD, SUITE E, RICHMOND, VA 23225-4038
(804) 269-5112
(877) 795-7329
Mailing address
909 HIOAKS RD, SUITE E, RICHMOND, VA 23225-4038
(804) 269-5112
(877) 795-7329

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101247463
VA
207RC0000X
Cardiovascular Disease Physician
MD419248
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013280500001
PA
05
1033105408
VA
01
P00863900
MEDICARE RAILROAD
VA
01
VAA102350
MEDICARE
VA
Enumeration date
09/21/2005
Last updated
08/26/2015
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