Active NPI
Suraiya Kureshi Haider, MD
- Pediatric Pulmonology Physician
- Fairfax, VA
National Provider Identifier
1699810036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 0101254934
- Practice address
- 2730 Prosperity Ave
Suite D
Fairfax, VA 22031-4329 - Phone
- (703) 226-2290
- Fax
- (703) 226-2428
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | 0101254934 | VA | |
| Pediatrics Physician | 208000000X | 241417 | NY | |
| Pediatrics Physician | 208000000X | 042-0011415 | VT | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | MD429368 | PA | |
| Pediatric Pulmonology Physician | 2080P0214X | MD038124 | DC | |
| Pediatric Sleep Medicine Physician | 2080S0012X | 0101254934 | VA | |
| Pediatric Pulmonology Physician | 2080P0214X | 0101254934 | VA | Primary |
Addresses
Primary practice location
2730 Prosperity Ave
Suite D
Fairfax, VA 22031-4329
Mailing address
2730 Prosperity Ave
Suite D
Fairfax, VA 22031-4329
Phone (703) 226-2290
Other names 1
- Mrs. Suraiya Aisha Kureshi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241417 | NY | MD | Pediatrics Physician |
| 042-0011415 | VT | MD | Pediatrics Physician |
| MD429368 | PA | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
| MD038124 | DC | MD | Pediatric Pulmonology Physician |
Interoperability endpoints
- shaider105116@soc.inova.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1699810036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 PROSPERITY AVE",
"address_2": "SUITE D",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314329",
"telephone_number": "703-226-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 PROSPERITY AVE",
"address_2": "SUITE D",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314329",
"telephone_number": "703-226-2290",
"fax_number": "703-226-2428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIDER",
"first_name": "SURAIYA",
"middle_name": "KURESHI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207QS1201X",
"taxonomy_group": "",
"desc": "Family Medicine, Sleep Medicine",
"state": "VA",
"license": "0101254934",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "241417",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VT",
"license": "042-0011415",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "PA",
"license": "MD429368",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "DC",
"license": "MD038124",
"primary": false
},
{
"code": "2080S0012X",
"taxonomy_group": "",
"desc": "Pediatrics, Sleep Medicine",
"state": "VA",
"license": "0101254934",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "VA",
"license": "0101254934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SURAIYA",
"last_name": "KURESHI",
"middle_name": "AISHA",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.