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

Dr. Haitham Boulos Haddad, MD

Individual provider Internal Medicine Physician · NPI 1922003714

Dr. Haitham Boulos Haddad, MD is an Internal Medicine in Grants Pass, Oregon. Graduated from Loma Linda University School of Medicine in 1993, 33 years ago. Practices with Grants Pass Clinic LLP, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
33
Trained at
Loma Linda University School of Medicine
Licensed in
OR
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

495 SW Ramsey Ave
Grants Pass, OR 97527
Phone: (541) 476-6644
Fax: (541) 472-5673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD18812 (OR)

Record details

NPI number1922003714
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2005
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Grants Pass Clinic Llp — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Grants Pass