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Individual

DR. IMAD IBRAHIM HADDAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
21307 ROMAR ST, CHATSWORTH, CA 91311-3030
(818) 718-8849
(818) 718-8849
Mailing address
21307 ROMAR ST, CHATSWORTH, CA 91311-3030
(818) 718-8849
(818) 718-8849

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3831
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E38311
CA
Enumeration date
05/29/2007
Last updated
07/09/2007
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