Individual ProviderShanzay HaiderInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address56 Franklin St, Waterbury, CT 06706-1253(203) 709-8685PECOS EnrollmentBased on the most recent information from CMS, provider Shanzay Haider is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1003270299Provider TypeIndividualFull NameHaider, ShanzayCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date4/13/2016Last Updated9/3/2020Contact InformationPractice LocationPractice Address56 Franklin St, Waterbury, CT 06706-1253Phone(203) 709-8685FaxUnlisted FaxMailing LocationMailing Address56 Franklin St, Waterbury, CT 06706-1865Phone(203) 709-8685FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense63638ConnecticutCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerConnecticut