Provider Type Icon

SHAKER HADDAD MD PC NPI 1609026335


NPI Information

NPI: 1609026335
Provider Name: SHAKER HADDAD MD PC

Doing Business As: SHAKER HADDAD MD PC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
12813 W WARREN AVE
DEARBORN, MI
ZIP 48126
Phone: (313) 581-8090
Get Directions

SHAKER HADDAD MD PC is a clinic center in Dearborn, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SHAKER HADDAD MD PC NPI is 1609026335. The provider is registered as an organization entity type.
The provider Is Doing Business As Shaker Haddad Md Pc.

The provider's business location address is:

12813 W WARREN AVE
DEARBORN, MI
ZIP 48126-532
Phone: (313) 581-8090
Fax: (313) 581-4823

The provider's authorized official is Shaker Haddad .
The authorized official title is Md and has the following contact phone number (313) 581-8090.

The enumeration date for this NPI number is 9/30/2008 and was last updated on 9/30/2008.


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
1261Q00000XClinic/CenterSH048228MICHIGANYes

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
11848906MEDICAIDMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.