Provider Demographics
NPI:1275583973
Name:LADAK, HADI K (MD)
Entity Type:Individual
Prefix:DR
First Name:HADI
Middle Name:K
Last Name:LADAK
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 1:12221 MERIT DR.
Mailing Address - Street 2:STE 910
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251
Mailing Address - Country:US
Mailing Address - Phone:214-217-1900
Mailing Address - Fax:252-209-3709
Practice Address - Street 1:12221 MERIT DR.
Practice Address - Street 2:STE 910
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251
Practice Address - Country:US
Practice Address - Phone:214-217-1900
Practice Address - Fax:252-209-3709
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200100397207R00000X, 208M00000X
TXP9385208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC188763OtherMEDCOST
NC89128X3Medicaid
NC128X3OtherBCBS OF NC
NC89128X3Medicaid
NCH38801Medicare UPIN