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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487600060 | NPPES |
| Oklahoma | MEDICAID | 100032920A |
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