Individual
DR. HAIDAR YASSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 E PALM LN STE A175, PHOENIX, AZ 85004-4603
(602) 386-1100
Mailing address
340 E PALM LN STE A175, PHOENIX, AZ 85004-4603
(602) 386-1100
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
50527
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020937
—
AZ
Enumeration date
06/18/2008
Last updated
07/08/2015
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