Provider Demographics
NPI:1588078596
Name:HAIDER, RIFFAT S (DMD)
Entity type:Individual
Prefix:DR
First Name:RIFFAT
Middle Name:S
Last Name:HAIDER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2506 VIRGINIA AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1901
Mailing Address - Country:US
Mailing Address - Phone:202-965-5400
Mailing Address - Fax:
Practice Address - Street 1:2506 VIRGINIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1901
Practice Address - Country:US
Practice Address - Phone:202-965-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-17
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN1001416122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist