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NPI Code Detail

MEDICARE: HASSAN HADDAD MD

MEDICARE:   HASSAN  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
1208M00000XHospitalist Physician25890OK
2207RN0300XNephrology Physician25890OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110242767OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992753263
Entity Type Code : Individual
Provider Name (Legal Business Name) : HASSAN HADDAD MD
Provider Business Mailing Address
First Line : 8921 S MINGO RD
Second Line :
City : TULSA
State : OK
Zip : 74133-5841
Country : US
Telephone Number : 918-577-3000
Fax Number :
Provider Business Practice Location Address
First Line : 8921 S MINGO RD
Second Line :
City : TULSA
State : OK
Zip : 74133-5841
Country : US
Telephone Number : 918-577-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 05/15/2024

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Directions to “ HASSAN HADDAD MD” Practice Location

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