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Export Provider Record NPI 1336390012
Ayyoub B HaddadDO
Active
NPI Number1336390012
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1336390012
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2008-10-01
Last Updated2023-10-23
Mailing Address13355 E 10 Mile Rd
Warren, MI 48089-2048
United States
Phone: (586) 759-7695
📍 View Map
Primary Practice Address13355 E 10 Mile Rd
Warren, MI 48089-2048
United States
Phone: (586) 759-7695
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No208M00000X – HospitalistMI5101018017
Yes207R00000X – Internal MedicineMI5101018017
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About NPI 1336390012

Ayyoub B Haddad DO is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1336390012. The primary specialty listed is Internal Medicine. The provider is located in Warren, MI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-10-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1336390012?

NPI 1336390012 belongs to Ayyoub B Haddad DO, a Internal Medicine in Warren, MI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1336390012 active?

The current status of NPI 1336390012 in the NPPES registry is Active. The record was last updated on 2023-10-23.

What specialty is NPI 1336390012?

NPI 1336390012 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1336390012?

You can verify NPI 1336390012 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1336390012?

The primary practice address on file for NPI 1336390012 is 13355 E 10 Mile Rd, Warren, MI 48089-2048. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1336390012 issued?

NPI 1336390012 was first issued (enumerated) on 2008-10-01. The NPPES record was last updated on 2023-10-23.

Practice Location Map

Ayyoub B Haddad is located at 13355 E 10 Mile Rd, Warren, MI. Use the map below to find directions or verify the practice location.

📍 13355 E 10 Mile Rd, Warren, MI 48089-2048  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Ayyoub B Haddad. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1336390012. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Hospitalist5101018017MI
Internal Medicine5101018017MI
Data Verified from CMS NPPES Last synced: 2026-08-12 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162