Individual
TANIA HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD DMD
Contact information
Practice address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
(602) 262-8890
Mailing address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31943
AZ
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
31943
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
850413
—
AZ
01
—
P00271092
MEDICARE RAILROAD
—
Enumeration date
02/03/2006
Last updated
09/15/2025
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