MEDICARE: DR. FARHANA HABIB MD, MPH

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	2083X0100X	Occupational Medicine Physician	35069422	OH

General Provider Information

NPI Number	:	1831255272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARHANA HABIB MD, MPH

Provider Business Mailing Address
First Line	:	7870 CHESTNUT RDG
Second Line	:
City	:	MAUMEE
State	:	OH
Zip	:	43537-8902
Country	:	US
Telephone Number	:	419-865-2575
Fax Number	:

Provider Business Practice Location Address
First Line	:	7870 CHESTNUT RDG
Second Line	:
City	:	MAUMEE
State	:	OH
Zip	:	43537-8902
Country	:	US
Telephone Number	:	419-865-2575
Fax Number	:

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

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	01/16/2008

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