Individual
WASIM HAIDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1940 STONEGATE DR STE 130, VESTAVIA HLS, AL 35242-2541
(205) 977-9876
(334) 244-5033
Mailing address
7300 HALCYON SUMMIT DR, MONTGOMERY, AL 36117-3699
(202) 444-5022
(334) 244-5033
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
49130
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2020
Last updated
08/29/2024
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