Individual
DR. FYEZA S. HAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8424 NAAB RD, STE 3J, INDIANAPOLIS, IN 46260-5918
(317) 872-7396
(317) 879-8328
Mailing address
PO BOX 7001, INDIANAPOLIS, IN 46207-7001
(317) 802-3109
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD426925
PA
207RG0100X
Gastroenterology Physician
Primary
01070937A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01070937A
LICENSE
IN
05
—
201084760
—
IN
Enumeration date
03/15/2006
Last updated
10/24/2016
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