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Contact Information

MOHAMMAD HAIDOUS, MD
611 E DOUGLAS RD STE 309
MISHAWAKA, IN46545-1467
 Phone: 574-335-6770
 Fax: 574-335-0779
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MOHAMMAD HAIDOUS · (Male)

NPI # 1245849892
Status Active
Credentials MD
Entity Individual
Enumeration date 07/29/2020
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • CA License # A185951
  • IN License # 01096548A
  • OH License # 57.249573
  • IN Medicaid 300114662
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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