MEDICARE: DR. HABIB RAHBAN 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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1982232518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HABIB RAHBAN MD

Provider Business Mailing Address
First Line	:	500 W THOMAS RD STE 850
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-4218
Country	:	US
Telephone Number	:	602-406-1510
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 W THOMAS RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-4409
Country	:	US
Telephone Number	:	602-406-3000
Fax Number	:

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

Provider Enumeration Date	:	03/30/2020
Last Update Date	:	02/28/2026

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