Individual
DR. THOMAS KHOURI HADDAD
Active
Individual
DR. THOMAS KHOURI HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A953521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0593636
CLIA
CA
05
—
GR0076920
—
CA
01
—
LAB93636F
MEDICAL CLIA
CA
Enumeration date
05/17/2006
Last updated
01/10/2022
Update your record
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