Shaker Hanna Haddad, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301048228 Issued in MI

Practice address

12813 W Warren Ave
Dearborn, MI 48126-1532

Phone

(313) 581-8090

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Haddad Pediatrics PLLC

  • Pediatrics Physician
  • Dearborn, MI
  • NPI 1306662622
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1093788069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12813 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261532",
            "telephone_number": "313-581-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12813 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261532",
            "telephone_number": "313-581-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "SHAKER",
        "middle_name": "HANNA",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301048228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE LIC.",
            "identifier": "4301048228",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093788069",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "4301048228",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jiries T Haddad, MD
• Leila Haddad, M.D.
• Lilliana Haddad, MD
• Raed Haddad, M.D.
• Sabrina Ann Haddad
• Yousef Haddad
• Brecia Lashay Hadden
• Amal Farid Hadid, PA
• Hind Hadid
• Ronny Hadid, MD

• Pediatrics Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.