Individual
HANY W HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12995 BRIGHTON AVE, CARMEL, IN 46032-8642
(317) 621-2212
Mailing address
12995 BRIGHTON AVE, CARMEL, IN 46032-8642
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01029331A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01029331A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100318480A
—
IN
01
—
P01350930
MEDICARE RR PTAN
IN
Enumeration date
06/13/2005
Last updated
08/24/2021
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