Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 116317 | MO |
N | 207RS0012X | Sleep Medicine | 116317 | MO |
NPI | 1033290101 |
---|---|
Provider Name | Dr. Habib G Munshi |
First Address | Branson, MO 65616-7511 |
Second Address | Branson, MO 65616-9647 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 24/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
203893409 | (05) | MO |
F93559 | (02) |