Provider Demographics
NPI:1164498879
Name:KADHIM, HAYDER M (MD)
Entity Type:Individual
Prefix:
First Name:HAYDER
Middle Name:M
Last Name:KADHIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:24651 CENTER RIDGE RD STE 350
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5627
Mailing Address - Country:US
Mailing Address - Phone:440-895-5056
Mailing Address - Fax:440-895-5050
Practice Address - Street 1:1730 W 25TH ST
Practice Address - Street 2:STE 3A
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113
Practice Address - Country:US
Practice Address - Phone:216-771-3413
Practice Address - Fax:216-771-5028
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-0826402084V0102X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000286913OtherANTHEM
F82640OtherSUMMACARE APEX
103878OtherKAISER
P00077122OtherRR MEDICARE INDIVIDUAL
1780634279OtherGROUP NPI
341783789102OtherCARESOURCE
9273172OtherGROUP MEDICARE
10909331OtherCAQH
OH2406337Medicaid
3610861OtherGROUP ASC MEDICARE
0119204OtherGROUP MEDICAID
7947510OtherAETNA
CA4511OtherRR MEDICARE GROUP
D368301OtherGROUP IND DIAGNOSTICS MED
D368301OtherGROUP IND DIAGNOSTICS MED
7947510OtherAETNA