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Individual

TYLER HADDAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
452 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-4299
(614) 293-2867
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-4299
(614) 293-2867

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34.015379
OH
207RP1001X
Pulmonary Disease Physician
23751
CA
207RP1001X
Pulmonary Disease Physician
Primary
34.015379
OH

Other

Enumeration date
03/26/2019
Last updated
06/22/2026
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