Individual
ELIAS HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6405 DAY ST, RIVERSIDE, CA 92507-0901
(951) 697-5460
Mailing address
6405 DAY ST, RIVERSIDE, CA 92507-0901
(951) 697-5460
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A99495
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A99495
STATE MEDICAL LICENSE
CA
Enumeration date
12/01/2009
Last updated
04/30/2021
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