Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101250592 | VA |
N | 111NI0900X | Internist | 0101250592 | VA |
Y | 208000000X | Pediatrician | 0101250592 | VA |
NPI | 1003112566 |
---|---|
Provider Name | Dr. Asma Shahid Habib |
First Address | Roanoke, VA 24013-2255 |
Second Address | Roanoke, VA 24018-0720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2011 |
Last Update Date | 02/11/2021 |