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Organization

AHMAD ABDALI HAIDAR MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLYSON WIRTZ (PROVIDER ENROLLMENT)
(337) 408-0805
Entity
Organization

Contact information

Practice address
600 GOLF COURSE DR., CARRIERE, MS 39426
(601) 699-9846
(601) 799-0052
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 991-9276
(337) 943-0846

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
11/27/2019
Last updated
08/17/2022
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