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NPI Code Detail

MEDICARE: MR. SAMIR HADDAD MD

MEDICARE: MR. SAMIR 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
12084N0400XNeurology PhysicianDR0071392CO

General Provider Information

NPI Number : 1841248234
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SAMIR HADDAD MD
Provider Business Mailing Address
First Line : 4700 E ILIFF AVE
Second Line :
City : DENVER
State : CO
Zip : 80222-6025
Country : US
Telephone Number : 303-335-0062
Fax Number :
Provider Business Practice Location Address
First Line : 4700 E ILIFF AVE
Second Line :
City : DENVER
State : CO
Zip : 80222-6025
Country : US
Telephone Number : 303-335-0062
Fax Number : 303-339-8007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 10/30/2025

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