Fadi George Haddad, MD | |
5201 Deer Valley Rd Ste 1e, Antioch, CA 94531-7430 | |
(925) 350-8855 | |
(925) 350-8860 |
Full Name | Fadi George Haddad |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 5201 Deer Valley Rd Ste 1e, Antioch, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982626537 | NPI | - | NPPES |
00C515750 | Medicaid | CA | |
C51575 | Other | CA | MEDICAL LICENSE |
450-107-8 | Other | ECFMG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | K4448 (Texas) | Secondary |
2080P0206X | Pediatrics - Pediatric Gastroenterology | C51575 (California) | Primary |
Entity Name | Stanford Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Entity Name | Lpch Medical Group Div Of Lucile |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Mailing Address | Practice Location Address |
---|---|
Fadi George Haddad, MD 8275 Royall Oaks Dr, Granite Bay, CA 95746-9340 Ph: (510) 813-4747 | Fadi George Haddad, MD 5201 Deer Valley Rd Ste 1e, Antioch, CA 94531-7430 Ph: (925) 350-8855 |
Rosetta C. Newhall, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000 | |
Dr. Melissa Rose, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3700 Sunset Ln, Suite 6, Antioch, CA 94509 Phone: 925-755-8500 Fax: 925-755-8200 | |
Mr. Harry H. Huang, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 Sunset Ln, #6, Antioch, CA 94509 Phone: 925-755-8500 Fax: 925-755-8200 | |
Bernabe Floro Urbano Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000 | |
Abbas Mahdavi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3700 Lone Tree Way # 3, Antioch, CA 94509 Phone: 925-754-7200 | |
Deborah Fernandes, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-6375 | |
Carl R. Ng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000 |