Individual
DR. THOMAS KHOURI HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 HYDE ST, SUITE 125, SAN FRANCISCO, CA 94109-4822
(415) 771-4366
Mailing address
91 COMMONWEALTH AVE, SAN FRANCISCO, CA 94118-2601
(646) 831-3160
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
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