MEDICARE: ROBERT J HABICHT 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	208M00000X	Hospitalist Physician	D67219	MD
2	207R00000X	Internal Medicine Physician	D67219	MD

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
2	S062-0330	OTHER	MD	CAREFIRST BC/BS REGIONAL
3	935906-01	OTHER	MD	CAREFIRST BC/BS

General Provider Information

NPI Number	:	1982735908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT J HABICHT MD

Provider Business Mailing Address
First Line	:	1734 YORK RD
Second Line	:
City	:	LUTHERVILLE
State	:	MD
Zip	:	21093-5606
Country	:	US
Telephone Number	:	410-252-2273
Fax Number	:	443-275-5225

Provider Business Practice Location Address
First Line	:	1734 YORK RD
Second Line	:
City	:	LUTHERVILLE
State	:	MD
Zip	:	21093-5606
Country	:	US
Telephone Number	:	410-252-2273
Fax Number	:	443-275-5225

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

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	11/15/2024

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