Individual provider · Type 1 NPI

Genna Haidar, MD

Student in an Organized Health Care Education/Training Program · Royal Oak, MI

NPI number 1801580618 Active

Practice location

3535 W 13 Mile Rd
Royal Oak, MI 48073-6770

Call (248) 551-3000 Map

Fax (248) 551-2032

Mailing address

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351051268 (MI)
Pediatrics Physician 208000000X4351051268 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801580618

Genna Haidar, MD's National Provider Identifier is 1801580618, issued on Jun 5, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Royal Oak, MI. The record was last updated on Jun 5, 2023.