| Ahmad Abdali Haidar Md Pa | |
|
600 Golf Course Dr. Carriere MS 39426 | |
| (601) 699-9846 | |
| (601) 799-0052 |
| Full Name | Ahmad Abdali Haidar Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 Golf Course Dr., Carriere, Mississippi |
| Authorized Official Name and Position | Allyson Wirtz (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 3374080805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad Abdali Haidar Md Pa 1509 Dulles Dr Lafayette LA 70506-3718 Ph: (337) 991-9276 | Ahmad Abdali Haidar Md Pa 600 Golf Course Dr. Carriere MS 39426 Ph: (601) 699-9846 |
| NPI Number | 1497391288 |
|---|---|
| Provider Enumeration Date | 11/27/2019 |
| Last Update Date | 08/17/2022 |
| Medicare PECOS PAC ID | 2567627763 |
|---|---|
| Medicare Enrollment ID | O20120712000572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497391288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ahmad A Haidar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407837503 PECOS PAC ID: 1254426760 Enrollment ID: I20091026000141 |
Picayune Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Golf Course Dr, Carriere, MS 39426 Phone: 601-699-9846 | |
Kids Klinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Country Club Rd, Carriere, MS 39426 Phone: 601-799-4777 | |
Hattiesburg Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6941 Highway 11 N, Suite A, Carriere, MS 39426 Phone: 601-749-3776 | |
Forrest County General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Country Club Rd, Carriere, MS 39426 Phone: 601-799-4777 Fax: 601-799-0052 |