Individual
AHMED HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19314 JESSE LN STE 100, RIVERSIDE, CA 92508-5070
(951) 776-4503
(951) 776-4513
Mailing address
19314 JESSE LN STE 100, RIVERSIDE, CA 92508-5070
(951) 776-4503
(951) 776-4513
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
49035
KY
208800000X
Urology Physician
BP10049120
TX
208800000X
Urology Physician
Primary
C170790
CA
Other
Enumeration date
05/13/2014
Last updated
04/14/2025
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