Haidar, Ali H

Haidar, Ali H is an individual health care provider with primary practice located at 1231 Pine Grove Ave Suite 2B, Port Huron MI 48060-3500. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Haidar, Ali H can be contacted via phone (810) 987-5500.

Contact Information

Primary practice address
1231 Pine Grove Ave Suite 2B Port Huron MI 48060-3500
Phone: (810) 987-5500
Fax: (810) 987-6321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301406466 Michigan
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4301406466 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301406466 Michigan

Profile Details

NPI number 1104892058
LBN Legal business name Haidar, Ali H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Dec 20th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104892058 NPPES
Michigan MEDICAID 1104892058

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