Tawfik Tim Hadaya, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A39485 Issued in CA

Practice address

38660 Medical Center Dr # A200
Palmdale, CA 93551-4385

Phone

(661) 949-3006

Fax

(661) 949-8770

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780797902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44105 N 15TH ST W",
            "address_2": "#302",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344089",
            "telephone_number": "661-949-3006",
            "fax_number": "661-949-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38660 MEDICAL CENTER DR # A200",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514385",
            "telephone_number": "661-949-3006",
            "fax_number": "661-949-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADAYA",
        "first_name": "TAWFIK",
        "middle_name": "TIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A39485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0076830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• H Shaheedy DMD Inc
• H&S Practice Management Inc
• Laura Hackman, MSW., LCSW
• Hadaya Chiropractic Inc.
• Kinan Hadaya, D.C.
• Amanda Haddad, LMFT
• Ranita Hahm, NP
• Maya Hajeh
• Saacha Lannine Hake, PH.D.
• Sajha Hale

• Urology Physician in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.