Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JOHN HADERLIE, MD
ActiveNephrology · CHUBBUCK, ID
Registration Details
- NPI Number
- 1700083813
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2007 (18.87054816154 yrs)
- Last Updated
- Dec 8, 2022
- License
-
M-10858 (ID)
Practice Information
- Address
-
4511 ZEBE AVECHUBBUCK, ID, 832024707Browse ID providers · Browse ZIP 83202
- Phone
- 2089044780
- Fax
- 2089044832
- Primary Specialty
-
Nephrology
207RN0300X
Other Nephrology Providers in CHUBBUCK, ID
| Name | Credential | NPI |
|---|---|---|
| FAHIM RAHIM | M.D. | 1164579736 |
| NAEEM RAHIM | M.D. | 1235286808 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.