Individual
SHAN E ALI HAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20410 OBSERVATION DR, SUITE 100, GERMANTOWN, MD 20876-4000
(301) 330-1000
(301) 330-9108
Mailing address
20410 OBSERVATION DR, SUITE 100, GERMANTOWN, MD 20876-4000
(301) 330-1000
(301) 330-9108
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD428261
PA
2086S0129X
Vascular Surgery Physician
Primary
D0066276
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056151700
—
MD
Enumeration date
10/16/2006
Last updated
04/14/2016
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