Basic Information
| Provider Information | |||||||||
| NPI: | 1659766889 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALBANDAR | ||||||||
| FirstName: | HEIDAR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 701 OSTRUM ST STE 501 | ||||||||
| Address2: | |||||||||
| City: | FOUNTAIN HILL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180151153 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4845037000 | ||||||||
| FaxNumber: | 4845037001 | ||||||||
| Practice Location | |||||||||
| Address1: | 701 OSTRUM ST STE 501 | ||||||||
| Address2: | |||||||||
| City: | FOUNTAIN HILL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180151153 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4845037000 | ||||||||
| FaxNumber: | 4845037001 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2015 | ||||||||
| LastUpdateDate: | 08/29/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | MD472789 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207R00000X | 25MA11500500 | NJ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | 28245 | WV | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.