Individual
WALID HADID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8040 CLEARVISTA PKWY STE 440, INDIANAPOLIS, IN 46256-4673
(317) 621-5510
(317) 621-5511
Mailing address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01065068A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01065068A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
TP979
KY
207RP1001X
Pulmonary Disease Physician
01065068A
IN
207RP1001X
Pulmonary Disease Physician
87983
GA
207RP1001X
Pulmonary Disease Physician
TP979
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201198630
—
IN
01
—
840457
ANTHEM
IN
Enumeration date
05/25/2006
Last updated
03/18/2025
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