Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | M6166 | TX |
NPI | 1477627164 |
---|---|
Provider Name | Dr. Ghassan Fouad Haddad |
First Address | Cincinnati, OH 45263-8336 |
Second Address | Houston, TX 77054-1920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 12/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I09525 | (02) | OH |