Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A83772 | CA |
N | 111NI0900X | Internist | A83772 | CA |
N | 207RN0300X | Nephrologist | A83772 | CA |
NPI | 1073618633 |
---|---|
Provider Name | Dr. Michael Farouk Habashy |
First Address | Burbank, CA 91505-4806 |
Second Address | Burbank, CA 91505-4806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 08/07/2007 |