Individual
DR. MUSTAFA MAHMOUD HADDAD
Active
Individual
DR. MUSTAFA MAHMOUD HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
74683
WI
2085R0204X
Vascular & Interventional Radiology Physician
74683
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104269943
—
WI
05
—
9000171880
—
CO
01
—
NA1214141
MEDICARE
NE
01
—
NA1215142
MEDICARE
NE
01
—
NA2517118
MEDICARE
NE
Enumeration date
04/11/2013
Last updated
09/15/2025
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