Khadim, Haider Ali

Khadim, Haider Ali is an individual health care provider with primary practice located at 301 Prospect Ave , Syracuse NY 13203-1899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Khadim, Haider Ali can be contacted via phone (315) 448-6188.

Contact Information

Primary practice address
301 Prospect Ave Syracuse NY 13203-1899
Phone: (315) 448-6188
Fax: (315) 703-2403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 261646 New York

Profile Details

NPI number 1174788541
LBN Legal business name Khadim, Haider Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2008
Last updated Feb 6th, 2024 - about 9 months 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 1174788541 NPPES
New York MEDICAID 03358981

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