Individual
HEATHER L HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 757-0552
(225) 763-9997
Mailing address
PO BOX 55309, BIRMINGHAM, AL 35255-5309
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2006-00761
NC
2085R0202X
Diagnostic Radiology Physician
Primary
203303
LA
2085R0202X
Diagnostic Radiology Physician
28154
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009943043
—
AL
05
—
009943044
—
AL
05
—
009943059
—
AL
05
—
009943061
—
AL
05
—
009943146
—
AL
01
—
051541149
BLUE CROSS
AL
01
—
051541150
BLUE CROSS
AL
01
—
051541151
BLUE CROSS
AL
01
—
051541153
BLUE CROSS
AL
01
—
051541155
BLUE CROSS
AL
05
—
1036927
—
LA
Enumeration date
07/27/2006
Last updated
05/28/2020
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