Healthcare Provider Details

I. General information

NPI: 1558922625
Provider Name (Legal Business Name): SUDAD KAREEM AL HADAD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 05/24/2025
Certification Date: 05/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12121 RICHMOND AVE STE 216
HOUSTON TX
77082-2422
US

IV. Provider business mailing address

12121 RICHMOND AVE STE 216
HOUSTON TX
77082-2422
US

V. Phone/Fax

Practice location:
  • Phone: 346-707-8978
  • Fax:
Mailing address:
  • Phone: 346-707-8978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberS7832
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: