Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 200000442 | NC |
N | 208600000X | Surgeon | 200000442 | NC |
Y | 2086X0206X | Surgical Oncologist | 200000442 | NC |
NPI | 1215932223 |
---|---|
Provider Name | Nizar Habal |
First Address | Greenville, NC 27834-2868 |
Second Address | Greenville, NC 27834-2868 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 02/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
126T0 | BCBS (01) | NC |
89126T0 | (05) | NC |
H02904 | (02) | NC |