Haddad, Walid John

Haddad, Walid John is an individual health care provider with primary practice located at 3306 N Kickapoo Ave Ste 150 , Shawnee OK 74804-1718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Haddad, Walid John can be contacted via phone (405) 628-6535.

Contact Information

Primary practice address
3306 N Kickapoo Ave Ste 150 Shawnee OK 74804-1718
Phone: (405) 628-6535
Fax: (405) 972-7587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20655 Oklahoma
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 20655 Oklahoma

Profile Details

NPI number 1487600060
LBN Legal business name Haddad, Walid John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jun 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487600060 NPPES
Oklahoma MEDICAID 100032920A

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