Provider Demographics
NPI:1134693500
Name:HADI, DURAID (MD)
Entity Type:Individual
Prefix:
First Name:DURAID
Middle Name:
Last Name:HADI
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 1:29650 NEWBERRY CT
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-1643
Mailing Address - Country:US
Mailing Address - Phone:312-532-9928
Mailing Address - Fax:
Practice Address - Street 1:29650 NEWBERRY CT
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-1643
Practice Address - Country:US
Practice Address - Phone:312-532-9928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA