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NPI Code Detail

MEDICARE: HIBA IRFAN

MEDICARE: HIBA IRFAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1881550960
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIBA IRFAN
Provider Business Mailing Address
First Line : 1 COACHMAN DR
Second Line :
City : ROSLYN
State : NY
Zip : 11576-3119
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 41550 ECLECTIC ST
Second Line :
City : PALM DESERT
State : CA
Zip : 92260-1967
Country : US
Telephone Number : 877-205-6269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2026
Last Update Date : 01/01/2026

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Directions to “ HIBA IRFAN ” Practice Location

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