Individual
MR. NABEEL HAIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 ATRISCO DR NW, ALBUQUERQUE, NM 87120-1627
(505) 462-7575
(505) 462-7555
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2020-0985
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2018
Last updated
08/05/2021
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