Organization
SENIOR HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD HAIDER D.O. (PRESIDENT)
(502) 883-1015
Entity
Organization
Contact information
Practice address
2410 RING RD, SUITE 400, ELIZABETHTOWN, KY 42701-7994
(502) 883-1015
(502) 883-1019
Mailing address
2410 RING RD, SUITE 400, ELIZABETHTOWN, KY 42701-7994
(502) 883-1015
(502) 883-1019
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
03287
KY
Other
Enumeration date
02/04/2015
Last updated
04/22/2015
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