Individual
BASEM HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25200 CENTER RIDGE RD, SUITE 3400, WESTLAKE, OH 44145-4141
(440) 331-4646
(440) 331-3197
Mailing address
24651 CENTER RIDGE RD, SUITE 350, WESTLAKE, OH 44145-5635
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35075747H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119204
GROUP MEDICAID
—
01
—
106463
KAISER
—
01
—
11610625
CAQH
—
01
—
1780634279
GROUP NPI
—
05
—
2149955
—
OH
01
—
3610861
GROUP ASC MEDICARE
—
01
—
9273172
GROUP MEDICARE
—
01
—
CA4511
GROUP RR MEDICARE
—
01
—
D368301
GROUP IND DIAGNOSTICS MED
—
01
—
P00353021
RR MEDICARE INDIVIDUAL
—
Enumeration date
06/07/2006
Last updated
04/01/2026
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