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NPI Code Detail

MEDICARE: DR. LANA HABASH M.D.

MEDICARE: DR. LANA HABASH 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
1207Q00000XFamily Medicine Physician154108MA

Other Identifiers

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

General Provider Information

NPI Number : 1316911399
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LANA HABASH M.D.
Provider Business Mailing Address
First Line : 960 MASSACHUSETTS AVENUE
Second Line : FL 2
City : BOSTON
State : MA
Zip : 02118-2690
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11 MELNEA CASS BLVD
Second Line :
City : BOSTON
State : MA
Zip : 02119-4401
Country : US
Telephone Number : 617-414-2080
Fax Number : 617-414-2090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 06/01/2023

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Directions to “ DR. LANA HABASH M.D.” Practice Location

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