Healthcare Provider Details

I. General information

NPI: 1538395843
Provider Name (Legal Business Name): RANIA A HABIB DDS, MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2009
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6798 OAK HALL LN STE A1
COLUMBIA MD
21045-5167
US

IV. Provider business mailing address

6798 OAK HALL LN STE A1
COLUMBIA MD
21045-5167
US

V. Phone/Fax

Practice location:
  • Phone: 410-290-7757
  • Fax: 410-290-8182
Mailing address:
  • Phone: 410-290-7757
  • Fax: 410-290-8182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License NumberD0080356
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: