Most Relevant Information
Provider Data
| NPI Number: | 1003270299 |
| Provider Name: | SHANZAY HAIDER M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/13/2016 |
| Last Updated: | 09/03/2020 |
Provider Practice Location
56 FRANKLIN ST
WATERBURY
CT
067061253
Practice Location Phone/Fax
| Phone: | 2037098685 |
| Fax: |
Provider Mailing Location
56 FRANKLIN ST
WATERBURY
CT
067061865
Provider Mailing Phone/Fax
| Phone: | 2037098685 |
| Fax: |