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Dr. Issa T. Haddad, MD

Pediatrics in Dearborn, MI. Individual provider (NPI-1).

NPI number1124091376
StatusActive
Last updated in NPPESNov 15, 2012

Details

NPI
1124091376
Entity type
Individual (NPI-1)
Name
Dr. Issa T. Haddad
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Feb 8, 2006
Last updated
Nov 15, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsBH7862089MIYes

Practice location

9720 Dix
Dearborn, MI 48120-1566

Phone 313-841-1680 · Fax 313-841-3123

Mailing address

9720 Dix
Dearborn, MI 48120-1566

Phone 313-841-1680 · Fax 313-841-3123

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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