Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ahmed Haddad

Individual provider Urology Physician · NPI 1700297728

Ahmed Haddad is an Urology in Riverside, California. Qualified in 1997, 29 years ago. Practices with Riverside Medical Clinic Inc, a 174-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Kentucky and Texas.

Years since qualifying
29
Licensed in
CA, KY, TX
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

19314 Jesse Ln Ste 100
Riverside, CA 92508-5070
Phone: (951) 776-4503
Fax: (951) 776-4513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence C170790 (CA)
Urology Physician Taxonomy 208800000X · Licence BP10049120 (TX)
Urology Physician Taxonomy 208800000X · Licence 49035 (KY)

Record details

NPI number1700297728
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address19314 Jesse Ln Ste 100, Riverside, CA 92508-5070

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Riverside Medical Clinic Inc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Riverside