Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | D91484 | MD |
NPI | 1003341413 |
---|---|
Provider Name | Karishma Habbu |
First Address | Baltimore, MD 21220-2004 |
Second Address | Baltimore, MD 21224-2735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2017 |
Last Update Date | 29/05/2021 |