Individual
MR. ABDUL SHUKOOR HAIDARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPH
Contact information
Practice address
2215 W BROADWAY APT F223, ANAHEIM, CA 92804-2363
(657) 702-0215
Mailing address
2215 W BROADWAY APT F223, ANAHEIM, CA 92804-2363
(657) 702-0215
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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