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

Dr. Moshe C Haddad, DO

Individual provider Anesthesiology Physician · NPI 1780204099

Dr. Moshe C Haddad, DO is an Anesthesiology in Detroit, Michigan. Qualified in 2020, 6 years ago. Practices with Northstar Anesthesia of Michigan III PLLC, a 567-clinician group. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 5151014271 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 5101028086 (MI)

Record details

NPI number1780204099
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 16, 2020
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address3601 W 13 Mile Rd, Royal Oak, MI 48073-6712

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northstar Anesthesia Of Michigan Iii Pllc — 567 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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