Individual
DR. CHARLES P HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T377
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13963
TLC MEMPHIS MANAGED CARE
—
01
—
2240072
UNITED HEALTHCARE
—
01
—
410026537
RAIL ROAD MEDICARE
—
01
—
47519
TN CARE
TN
01
—
47519
BLUE CROSS BLUE SHIELD
—
01
—
5843
OMNI
TN
Enumeration date
10/27/2005
Last updated
07/29/2008
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