Provider Demographics
NPI:1053404137
Name:HADEED, SAMI K W (MD)
Entity type:Individual
Prefix:
First Name:SAMI
Middle Name:K W
Last Name:HADEED
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:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:1500 COOPER ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2710
Practice Address - Country:US
Practice Address - Phone:682-885-6299
Practice Address - Fax:682-885-1090
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH74242080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10029162OtherAMERIGROUP PIN
TX00U87ZOtherBCBSTX GRP PIN
TX1392830OtherUHC PIN
3390705OtherECFMG
TX413459OtherPHCS PIN
TX1640391OtherFIRSTHEALTH PIN
TX4346261OtherAETNA PIN
TX89V242OtherBCBSTX IND PIN
TX123060904Medicaid
TX7431637OtherCIGNA PIN
TX114285101OtherFIRSTCARE PIN
TX115234OtherSUPERIOR PIN
TX138412509Medicaid
1750369203OtherGRP NPI NUMBER
TX123060902Medicaid
TX140442845Medicaid
D33519Medicare UPIN
TX140442845Medicaid
TX123060902Medicaid