Thaer Ahmad Ibrahim Abdul Hadi, MBBS, MD
Student in an Organized Health Care Education/Training Program in Pensacola, FL. Individual provider (NPI-1).
Details
- NPI
- 1831706985
- Entity type
- Individual (NPI-1)
- Name
- Thaer Ahmad Ibrahim Abdul Hadi
- Credential
- MBBS, MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2020
- Certification date
- Nov 18, 2020
- Last updated
- Jul 12, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - HOSPITALIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | TRN32024 | FL | Yes |
| 208000000X | Pediatrics | TRN32024 | FL |
Practice location
5375 N 9th AvePensacola, FL 32504-8725
Phone 850-941-7842 · Fax 850-332-0155
Mailing address
5375 N 9th AvePensacola, FL 32504-8725
Phone 850-941-7842 · Fax 850-332-0155
Is something wrong?
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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