Individual
LALARUKH HAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, NEPHROLOGY, FARMINGTON, CT 06030-3835
(860) 679-2160
(860) 679-1042
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
042738
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871516054
—
CT
Enumeration date
07/26/2006
Last updated
11/07/2022
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