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NPI Code Detail

MEDICARE: DR. MICHEL GEORGE HADDAD MD

MEDICARE: DR. MICHEL GEORGE 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician35355NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1220017857OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
238005OTHERNCBCBS OF NC
386732OTHERMEDCOST
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700870771
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHEL GEORGE HADDAD MD
Provider Business Mailing Address
First Line : PO BOX 1295
Second Line :
City : BLUEFIELD
State : WV
Zip : 24701-1295
Country : US
Telephone Number : 304-323-4320
Fax Number : 304-323-4333
Provider Business Practice Location Address
First Line : 100 AIRPORT RD
Second Line :
City : KINSTON
State : NC
Zip : 28501-1604
Country : US
Telephone Number : 252-522-7141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 11/21/2017

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