Provider Demographics
NPI:1578559761
Name:ELDADAH, HASHIM Z (MD)
Entity Type:Individual
Prefix:
First Name:HASHIM
Middle Name:Z
Last Name:ELDADAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HASHIM
Other - Middle Name:Z
Other - Last Name:EL-DADAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:910 N EISENHOWER AVE
Mailing Address - Street 2:MERCY PEDIATRIC & ADOLESCENT CLINIC
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-1525
Mailing Address - Country:US
Mailing Address - Phone:641-428-5437
Mailing Address - Fax:641-428-5800
Practice Address - Street 1:910 N EISENHOWER AVE
Practice Address - Street 2:MERCY PEDIATRIC & ADOLESCENT CLINIC
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-1525
Practice Address - Country:US
Practice Address - Phone:641-428-5437
Practice Address - Fax:641-428-5800
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101057773208000000X
IA32154208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics