MEDICARE: HABIB MEDICAL LLC

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
1	207R00000X	Internal Medicine Physician	8087	NV

General Provider Information

NPI Number	:	1891985040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HABIB MEDICAL LLC

Provider Business Mailing Address
First Line	:	PO BOX 417
Second Line	:
City	:	MESQUITE
State	:	NV
Zip	:	89024-0417
Country	:	US
Telephone Number	:	702-345-5000
Fax Number	:	702-345-2000

Provider Business Practice Location Address
First Line	:	210 N SANDHILL BLVD
Second Line	:
City	:	MESQUITE
State	:	NV
Zip	:	89027-4789
Country	:	US
Telephone Number	:	702-345-5000
Fax Number	:	702-345-2000

Authorized Official
Title or Position	:	PRACTICE OWNER/PRESIDENT
Name	:	DR. ASMA HABIB
Credential	:	M.D.
Telephone Number	:	702-345-5000

Provider Enumeration Date	:	07/25/2007
Last Update Date	:	08/23/2007

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