National Provider Identifier Database

IBRAHIM J HADDAD, MD – NPI #1366401960
Pediatric Gastroenterology

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.


Contact Information

IBRAHIM J HADDAD, MD
7641 MARKET ST STE 3
BOARDMAN, OH44512
Phone: 330-729-9140
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X

* Indicates primary specialty

NPI Profile & details for IBRAHIM J HADDAD

NPI Number 1366401960
Credentials MD
Entity Individual
Enumeration date 03/22/2006
Last updated 05/14/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • CA License #: A44109
  • NM License #: MD2014-0041
  • OH License #: 35-062494
  • OH License #: 35062494H
  • PA License #: MD045935L
  • OH Medicaid: 0860528
  • PA Medicaid: 01256834
Hospital affiliation n/a

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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