Provider Demographics
NPI:1407562028
Name:JOSEPH HADI MD, PLLC
Entity Type:Organization
Organization Name:JOSEPH HADI MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:HADI, MD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-330-5455
Mailing Address - Street 1:5335 YARMOUTH AVE APT 104
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3153
Mailing Address - Country:US
Mailing Address - Phone:646-330-5455
Mailing Address - Fax:
Practice Address - Street 1:423 AVE N
Practice Address - Street 2:LEFT DOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1123
Practice Address - Country:US
Practice Address - Phone:646-330-5455
Practice Address - Fax:267-367-5923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty