Provider Demographics
NPI:1851658694
Name:BANGASH, HAIDER K (MD)
Entity type:Individual
Prefix:DR
First Name:HAIDER
Middle Name:K
Last Name:BANGASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9008
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:2051 GREENHOUSE RD STE 270
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7573
Practice Address - Country:US
Practice Address - Phone:281-665-4444
Practice Address - Fax:281-392-6766
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS5317207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology