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NPI Code Detail

MEDICARE: ADNAN R HABBAL M.D.

MEDICARE: ADNAN R HABBAL 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
12085R0202XDiagnostic Radiology Physician4301034447MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11006439OTHERMIMCLAREN HEALTH
2107782OTHERGREAT LAKES HEALTH
30Q26008OTHERMIBCBS PROVIDER NUMBER
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
50H26188OTHERMIBCBS PROVIDER NUMBER

General Provider Information

NPI Number : 1194720805
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADNAN R HABBAL M.D.
Provider Business Mailing Address
First Line : 36175 HARPER AVE
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48035-3274
Country : US
Telephone Number : 586-741-3772
Fax Number : 586-741-7604
Provider Business Practice Location Address
First Line : 36175 HARPER AVE
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48035-3274
Country : US
Telephone Number : 586-741-3772
Fax Number : 586-741-7604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 10/15/2007

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