Individual
MOHAMMAD HAIDOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 E DOUGLAS RD STE 309, MISHAWAKA, IN 46545-1467
(574) 335-6770
(574) 335-0779
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3833
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.249573
OH
207R00000X
Internal Medicine Physician
A185951
CA
207RI0200X
Infectious Disease Physician
Primary
01096548A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300114662
—
IN
Enumeration date
07/29/2020
Last updated
09/11/2025
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