Healthcare Provider Details

I. General information

NPI: 1760387773
Provider Name (Legal Business Name): TEHMINA H LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 WINDING WAY
PRINCETON NJ
08540-8805
US

IV. Provider business mailing address

54 WINDING WAY
PRINCETON NJ
08540-8805
US

V. Phone/Fax

Practice location:
  • Phone: 734-620-0514
  • Fax:
Mailing address:
  • Phone: 734-620-0514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: TEHMINA HABIB
Title or Position: OWNER
Credential: MD
Phone: 734-620-0514