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Individual

IMAD HADDAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
805 BARDSTOWN RD STE 12, SPRINGFIELD, KY 40069-1515
(859) 481-7113
(859) 481-7114
Mailing address
805 BARDSTOWN RD STE 12, SPRINGFIELD, KY 40069-1515
(859) 481-7113
(859) 481-7114

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37821
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000316729
ANTHEM
KY
01
50005469
PASSPORT
KY
05
64065865
KY
Enumeration date
07/27/2006
Last updated
12/06/2017
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