MEDICARE: ALEXANDER HABASHY MD

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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	34780	OK
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	303329	LA

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	:	1437577830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER HABASHY MD

Provider Business Mailing Address
First Line	:	1514 JEFFERSON HWY
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70121-2429
Country	:	US
Telephone Number	:	504-842-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 MEDICAL CENTER DR
Second Line	:
City	:	SLIDELL
State	:	LA
Zip	:	70461-5575
Country	:	US
Telephone Number	:	985-646-5550
Fax Number	:	985-646-5560

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

Provider Enumeration Date	:	04/02/2014
Last Update Date	:	08/22/2022

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