Individual
SHAHZAD HAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 OPITZ BLVD STE G-209, WOODBRIDGE, VA 22191-3311
(703) 523-0611
(703) 670-2089
Mailing address
2300 OPITZ BLVD STE G-209, WOODBRIDGE, VA 22191-3311
(703) 523-0611
(703) 670-2089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101256138
VA
208M00000X
Hospitalist Physician
Primary
0101256138
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2011
Last updated
10/02/2020
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