Provider Demographics
NPI:1982807053
Name:ELHADI BABIKER, HAITHEM M (MD, DMD)
Entity Type:Individual
Prefix:
First Name:HAITHEM
Middle Name:M
Last Name:ELHADI BABIKER
Suffix:
Gender:M
Credentials:MD, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:ML 2020
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-7181
Mailing Address - Fax:513-636-7182
Practice Address - Street 1:3333 BURNET AVE
Practice Address - Street 2:ML 2020
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-636-7181
Practice Address - Fax:513-636-7182
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.124054208200000X, 204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery