Individual
HAIDER ALI KHADIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1899
(315) 448-6188
(315) 703-2403
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1899
(315) 448-6188
(315) 703-2403
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
261646
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03358981
—
NY
Enumeration date
07/24/2008
Last updated
02/06/2024
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