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IBRAHIM J HADDAD MD NPI 1366401960


NPI Information

NPI: 1366401960
Provider Name: IBRAHIM J HADDAD, MD
Classification: Pediatrics - 2080P0206X
Entity Type: Individual

Specialization: Pediatric Gastroenterology

PECOS Registration: Yes

CLIA Number: 36D0954503

Address:
7641 MARKET ST STE 3
BOARDMAN, OH
ZIP 44512
Phone: (330) 729-9140
Get Directions

Ibrahim J Haddad, MD is a pediatric gastroenterology pediatrics in Boardman, OH with 43 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. Ibrahim J Haddad, MD NPI is 1366401960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7641 MARKET ST STE 3
BOARDMAN, OH
ZIP 44512
Phone: (330) 729-9140

The NPI 1366401960 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 36D0954503 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 5/14/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0206XPediatricsPediatric GastroenterologyMD045935LPENNSYLVANIANo
22080P0206XPediatricsPediatric Gastroenterology35-062494OHIOYes
32080P0206XPediatricsPediatric GastroenterologyA44109CALIFORNIANo
42080P0206XPediatricsPediatric GastroenterologyMD2014-0041NEW MEXICONo
52080P0206XPediatricsPediatric Gastroenterology35062494HOHIONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10860528MEDICAIDOHIO
201256834MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.