Individual
HASSAN HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8921 S MINGO RD, TULSA, OK 74133-5841
(918) 577-3000
Mailing address
8921 S MINGO RD, TULSA, OK 74133-5841
(918) 577-3000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25890
OK
208M00000X
Hospitalist Physician
25890
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110242767
RAILROAD MEDICARE
TN
05
—
200118650A
—
OK
Enumeration date
05/05/2006
Last updated
05/15/2024
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