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NPI Code Detail

MEDICARE: FUAD C HADDAD MD

MEDICARE: FUAD C 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
1208600000XSurgery Physician01097064AIN
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1457988230
Entity Type Code : Individual
Provider Name (Legal Business Name) : FUAD C HADDAD MD
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 550 S LANDMARK AVE
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47403-3239
Country : US
Telephone Number : 812-355-2750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2020
Last Update Date : 02/05/2026

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Directions to “ FUAD C HADDAD MD” Practice Location

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