MEDICARE: SAIED HABIBIPOUR M.D.

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	A80162	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013904424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAIED HABIBIPOUR M.D.

Provider Business Mailing Address
First Line	:	3973 VISTA VERDE
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-1231
Country	:	US
Telephone Number	:	760-416-1376
Fax Number	:	760-416-1381

Provider Business Practice Location Address
First Line	:	1180 N INDIAN CANYON DR
Second Line	:	E318
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4800
Country	:	US
Telephone Number	:	760-416-1376
Fax Number	:	760-416-1381

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	07/08/2007

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Directions to “ SAIED HABIBIPOUR M.D.” Practice Location

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