Haddadin, Isam Andrawgs

Haddadin, Isam Andrawgs is an individual health care provider with primary practice located at 3641 Ridge Rd , Highland IN 46322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Haddadin, Isam Andrawgs can be contacted via phone (219) 923-2100.

Contact Information

Primary practice address
3641 Ridge Rd Highland IN 46322
Fax: (219) 923-9342
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01029890A Indiana

Profile Details

NPI number 1851313803
LBN Legal business name Haddadin, Isam Andrawgs
Credentials MD FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Apr 6th, 2010 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851313803 NPPES
Other 87493 BLUE CROSS BLUE SHIELD
Other 91108082 BLUE CROSS BLUE SHIELD
MEDICAID 100168870A BLUE CROSS BLUE SHIELD

Popular Providers