Individual
IMRAN HAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10010 KENNERLY RD, 3 SOUTHBRIDGE, SAINT LOUIS, MO 63128-2106
(314) 525-1328
(314) 525-1378
Mailing address
10010 KENNERLY RD, 3 SOUTHBRIDGE, SAINT LOUIS, MO 63128-2106
(314) 525-1328
(314) 525-1378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2014021221
MO
207R00000X
Internal Medicine Physician
9003635-1205
UT
207RC0000X
Cardiovascular Disease Physician
BP10054986
TX
Other
Enumeration date
06/21/2011
Last updated
08/07/2024
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