Basic Information
| Provider Information | |||||||||
| NPI: | 1740470483 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HYDER | ||||||||
| FirstName: | HAROON | ||||||||
| MiddleName: | SYED | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9600 PATTERSON AVE | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232296053 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8047416200 | ||||||||
| FaxNumber: | 8047416213 | ||||||||
| Practice Location | |||||||||
| Address1: | 9600 PATTERSON AVE | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232296053 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8047416200 | ||||||||
| FaxNumber: | 8047416213 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2007 | ||||||||
| LastUpdateDate: | 03/23/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 0101240675 | VA | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207QA0000X | 0101240675 | VA | N | Allopathic & Osteopathic Physicians | Family Medicine | Adolescent Medicine | 207QA0401X | 0101240675 | VA | N | Allopathic & Osteopathic Physicians | Family Medicine | Addiction Medicine | 207QA0505X | 0101240675 | VA | N | Allopathic & Osteopathic Physicians | Family Medicine | Adult Medicine | 207QG0300X | 0101240675 | VA | N | Allopathic & Osteopathic Physicians | Family Medicine | Geriatric Medicine |
No ID Information.