Individual
AGHA SUHAIL HAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 N 6TH AVE, HOPEWELL, VA 23860-2621
(804) 458-7781
(804) 458-7814
Mailing address
602 N 6TH AVE, HOPEWELL, VA 23860-2621
(804) 458-7781
(804) 458-7814
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101058338
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005819776
—
VA
01
—
1821057639
GROUP NPI
VA
01
—
290011273
MEDICARE RAILROAD
VA
01
—
C05898
MEDICARE GROUP NUMBER
—
01
—
CI3965
MEDICARE RR GROUP
VA
Enumeration date
03/17/2006
Last updated
02/24/2014
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