AHMED HADDAD
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1700297728- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 19314 JESSE LN STE 100, RIVERSIDE, CA, 925085070
- Phone
- (951) 776-4503
- Fax
- (951) 776-4513
Specialties & Taxonomies
Urology
License: TX #BP10049120
Urology
License: KY #49035
Urology
Primary License: CA #C170790