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RAED HADDAD MD PLLC NPI 1518369412


NPI Information

NPI: 1518369412
Provider Name: RAED HADDAD MD, PLLC

Doing Business As: HADDAD INTERNAL MEDICINE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 23D2089885

Address:
9720 DIX STE B
DEARBORN, MI
ZIP 48120
Phone: (313) 843-1973
Get Directions

RAED HADDAD MD, PLLC is an internal medicine in Dearborn, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. RAED HADDAD MD, PLLC NPI is 1518369412. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Haddad Internal Medicine.

The provider's business location address is:

9720 DIX STE B
DEARBORN, MI
ZIP 48120
Phone: (313) 843-1973
Fax: (313) 843-1961

The provider's authorized official is Raed Haddad .
The authorized official title is President and has the following contact phone number (313) 843-1960.

The CLIA number assigned to this NPI record is 23D2089885 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2014 and was last updated on 1/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine4301097116MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11023320231MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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