| Shaker Haddad Md Pc | |
|
12813 W Warren Ave Dearborn MI 48126-1532 | |
| (313) 581-8090 | |
| (313) 581-4823 |
| Full Name | Shaker Haddad Md Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 12813 W Warren Ave, Dearborn, Michigan |
| Authorized Official Name and Position | Shaker Haddad (MD) |
| Authorized Official Contact | 3135818090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaker Haddad Md Pc 12813 West Warren Dearborn MI 48126 Ph: (313) 581-8090 | Shaker Haddad Md Pc 12813 W Warren Ave Dearborn MI 48126-1532 Ph: (313) 581-8090 |
| NPI Number | 1609026335 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 09/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609026335 | NPI | - | NPPES |
| 1848906 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | SH048228 (Michigan) | Primary |
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