MEDICARE: DR. ALEX ORLANDO HABIBE 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	207R00000X	Internal Medicine Physician	A91655	CA

General Provider Information

NPI Number	:	1629075395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEX ORLANDO HABIBE MD

Provider Business Mailing Address
First Line	:	1383 E HERNDON AVE
Second Line	:	STE 105
City	:	FRESNO
State	:	CA
Zip	:	93720-3302
Country	:	US
Telephone Number	:	559-233-4691
Fax Number	:

Provider Business Practice Location Address
First Line	:	1383 E HERNDON AVE
Second Line	:	SUITE 105
City	:	FRESNO
State	:	CA
Zip	:	93720-3302
Country	:	US
Telephone Number	:	559-233-4691
Fax Number	:

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	11/14/2016

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