MEDICARE: CHRISTA HABBOUSHE, MD, 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	207Q00000X	Family Medicine Physician	MD033959L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3297483	OTHER	PA	ENTITY NUMBER

General Provider Information

NPI Number	:	1053418293
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTA HABBOUSHE, MD, LLC

Provider Business Mailing Address
First Line	:	4534 RICHMOND ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19137-2040
Country	:	US
Telephone Number	:	215-743-3335
Fax Number	:	215-744-2109

Provider Business Practice Location Address
First Line	:	4534 RICHMOND ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19137-2040
Country	:	US
Telephone Number	:	215-743-3335
Fax Number	:	215-744-2109

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTA HABBOUSHE
Credential	:	MD, LLC
Telephone Number	:	215-743-3335

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1912964750 — DR. CHRISTA P HABBOUSHE M.D.
Practice Location Address:

4534 RICHMOND ST
PHILADELPHIA, PA
19137-2040

Practice Phone: 215-743-3335
Practice Fax: 215-744-2109

1457330375 — DR. ALAN NATHANSON DDS
Practice Location Address:

2578 ORTHODOX ST
PHILA, PA
19137-1636

Practice Phone: 215-533-7175
Practice Fax: 215-533-6026

1689629578 — HARRISON CONSULTANTS
Practice Location Address:

2040 E ALLEGHENY AVE
PHILA, PA
19134

Practice Phone: 215-423-8590
Practice Fax: 215-423-8591

1306892088 — MR. JOHN ARMSTRONG LPT
Practice Location Address:

2040 E ALLEGHENY AVE
PHILA, PA
19134

Practice Phone: 215-423-8590
Practice Fax: 215-423-8591

1730149071 — AVALON MEDICAL GROUP
Practice Location Address:

2410 AVALON AVE
MUSCLE SHOALS, AL
35661-3283

Practice Phone: 256-386-0808
Practice Fax: 256-389-8904

1609828342 — JOAN C. LAMBERT D.O.
Practice Location Address:

2643 ORTHODOX ST
PHILADELPHIA, PA
19137-1626

Practice Phone: 215-743-1400
Practice Fax: 215-743-1586

Directions to “CHRISTA HABBOUSHE, MD, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.