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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174788541 | NPPES |
| New York | MEDICAID | 03358981 |
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