MEDICARE: OFFICE OF INTERNAL MEDICINE, PC

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	MD0000026072	TN

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	:	1679776678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OFFICE OF INTERNAL MEDICINE, PC

Provider Business Mailing Address
First Line	:	PO BOX 1000 DEPT 941
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38148-0941
Country	:	US
Telephone Number	:	901-726-0843
Fax Number	:	901-278-2695

Provider Business Practice Location Address
First Line	:	2693 UNION AVENUE EXT STE 100
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38112-4403
Country	:	US
Telephone Number	:	901-726-0843
Fax Number	:	901-708-2699

Authorized Official
Title or Position	:	OWNER
Name	:	HANY HABASHY
Credential	:	MD
Telephone Number	:	901-726-0843

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	05/10/2023

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Directions to “OFFICE OF INTERNAL MEDICINE, PC ” Practice Location

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