Individual
SHAHANDEH HAGHIR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4066
(315) 785-4000
Mailing address
830 WASHINGTON ST, WATERTOWN, NY 13601-4066
(315) 785-4000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
212029
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354316
—
NY
Enumeration date
05/26/2006
Last updated
07/09/2007
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