Provider Demographics
NPI:1588754592
Name:HAIM, EDUARDO E (MD)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:E
Last Name:HAIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2029 K ST NW
Mailing Address - Street 2:SUITE 301
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1004
Mailing Address - Country:US
Mailing Address - Phone:202-659-0220
Mailing Address - Fax:202-659-0222
Practice Address - Street 1:2029 K ST NW
Practice Address - Street 2:SUITE 301
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1004
Practice Address - Country:US
Practice Address - Phone:202-659-0220
Practice Address - Fax:202-659-0222
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DC9281DC208800000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208800000XAllopathic & Osteopathic PhysiciansUrology
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCB94500Medicare UPIN