Haddad Internal Medicine | |
9720 Dix Ste B Dearborn MI 48120 | |
(313) 843-1973 | |
(313) 843-1961 |
Full Name | Haddad Internal Medicine |
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Speciality | Internal Medicine |
Location | 9720 Dix Ste B, Dearborn, Michigan |
Authorized Official Name and Position | Raed Haddad (PRESIDENT) |
Authorized Official Contact | 3138431960 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Haddad Internal Medicine 9720 Dix Ste B Dearborn MI 48120-1566 Ph: (313) 843-1973 | Haddad Internal Medicine 9720 Dix Ste B Dearborn MI 48120 Ph: (313) 843-1973 |
NPI Number | 1518369412 |
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Provider Enumeration Date | 09/23/2014 |
Last Update Date | 09/16/2024 |
Medicare PECOS PAC ID | 7012137169 |
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Medicare Enrollment ID | O20141013001478 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518369412 | NPI | - | NPPES |
1023320231 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301097116 (Michigan) | Primary |
Provider Name | Raed J Haddad |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023320231 PECOS PAC ID: 4880815984 Enrollment ID: I20141014001380 |
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