Hayder Abdulwahid, MBCHB
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Rochester, MN
NPI 1780071407 · NPPES record last updated Nov 1, 2021
Key facts
- NPI
- 1780071407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 66872 (MN)
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- Apr 20, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240415002614 | MI | Practitioner - Pathology | 8224361027 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66872 | MN | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haematology-Oncology Associates of Ohio and Michigan PC | Current | Accepting new patients |
Locations
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 66872 | MN | Yes |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 1
3000 Arlington Ave # MS 1050
Toledo, OH 43614-2595
Phone (419) 383-3474
Other providers in Rochester, MN
- Miraj Abdullahi
- Sabriin Mahammed Abdullahi
- Sihaam Abdullahi
- Hawa Mohamed Abdulle
- Aisha Abdulrazaq
- Elizabeth Ayumi Abe
- Dori Nicole Abel
- John P Abenstein
- Sarah Elaine Abernathy
- Jithma Prasad Abeykoon
All providers in Rochester, MN · Anatomic Pathology & Clinical Pathology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.