Individual
DR. MICHAEL MITRY HADEED III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 IVY RD, CHARLOTTESVILLE, VA 22903
(434) 243-3600
(434) 244-4454
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
0101272877
VA
207XX0801X
Orthopaedic Trauma Physician
DR.0063619
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR.0063619
STATE MEDICAL LICENSE
CO
Enumeration date
04/07/2015
Last updated
08/10/2023
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