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NPI Code Detail

MEDICARE: PHILIP ASSAAD HADDAD MD

MEDICARE: PHILIP ASSAAD HADDAD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician15441RLA

General Provider Information

NPI Number : 1427056456
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP ASSAAD HADDAD MD
Provider Business Mailing Address
First Line : 1333 COATES BLUFF DR
Second Line : #424
City : SHREVEPORT
State : LA
Zip : 71104-2833
Country : US
Telephone Number : 318-865-1992
Fax Number :
Provider Business Practice Location Address
First Line : 510 E STONER AVE
Second Line :
City : SHREVEPORT
State : LA
Zip : 71101-4243
Country : US
Telephone Number : 318-424-6064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/08/2007

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