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General NPI Number Information
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NPI Number | 1922167774
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Entity Type | Organization
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Legal Business Name | MICHAEL HABASHY MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2031 W ALAMEDA AVE SUIT # 340
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City | BURBANK
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State | CA
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Zip | 91506-2958
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Country | US
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Telephone | 818-636-9444
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Fax |
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Provider Business Mailing Address
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Address Line | 1456 WESTERN AVE
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City | GLENDALE
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State | CA
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Zip | 91201-1214
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Country | US
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Telephone | 818-240-0907
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Fax | 818-247-4887
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MICHAEL FAROUK HABASHY
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Credential | M.D
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Telephone | 818-636-9444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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