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Individual

MR. SYEDKASHIF B HAIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2406 RING RD, ELIZABETHTOWN, KY 42701-7940
(270) 234-8866
(270) 234-1355
Mailing address
2406 RING RD, ELIZABETHTOWN, KY 42701-7940
(270) 234-8866
(270) 234-1355

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
33558
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01046686A
MEDICAL LICENSE
IN
01
0496484
CIGNA NUMBER
KY
01
1120019
PASSPORT ID NUMBER
KY
01
165678
AMERICAN BD OF INT MED CE
01
18K7
BLUE CROSS NUMBER
KY
01
5720595
AETNA NUMBER
KY
05
64553381
KY
01
7255D
ECFMG
01
KY33558
MEDICAL LICENSE
KY
Enumeration date
10/20/2006
Last updated
03/07/2023
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