Individual
HOUSAM I HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
187 WOLFORD AVE, LIBERTY, KY 42539-3187
(606) 787-8348
(606) 787-8925
Mailing address
187 WOLFORD AVE, LIBERTY, KY 42539-3187
(606) 787-8348
(606) 787-8925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31531
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64315310
—
KY
Enumeration date
01/24/2006
Last updated
02/06/2012
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