Individual
MOHAMMAD A AL-HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-0980
(317) 968-1221
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01062866A
IN
207RG0100X
Gastroenterology Physician
Primary
01062866A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000526814
ANTHEM PTAN
IN
05
—
200856530
—
IN
Enumeration date
11/23/2005
Last updated
02/25/2025
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