Provider Demographics
NPI:1477627164
Name:HADDAD, GHASSAN FOUAD (MD)
Entity type:Individual
Prefix:DR
First Name:GHASSAN
Middle Name:FOUAD
Last Name:HADDAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 638336
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-8336
Mailing Address - Country:US
Mailing Address - Phone:713-796-9888
Mailing Address - Fax:713-796-9898
Practice Address - Street 1:7400 FANNIN ST
Practice Address - Street 2:SUITE 730
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1920
Practice Address - Country:US
Practice Address - Phone:713-796-9888
Practice Address - Fax:713-796-9898
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6166207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHI09525Medicare UPIN