MEDICARE: HABANI,INC

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	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1285200279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HABANI,INC

Provider Business Mailing Address
First Line	:	7212 E NIRVANA CIR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-1500
Country	:	US
Telephone Number	:	972-513-7537
Fax Number	:

Provider Business Practice Location Address
First Line	:	7212 E NIRVANA CIR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-1500
Country	:	US
Telephone Number	:	972-513-7537
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SIDDIG MAHDI IDRIS
Credential	:
Telephone Number	:	972-513-7537

Provider Enumeration Date	:	06/01/2021
Last Update Date	:	05/11/2022

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Directions to “HABANI,INC ” Practice Location

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