Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01085357A | IN |
N | 111NI0900X | Internist | 01085357A | IN |
Y | 207RC0200X | Critical Care Medicine | 01085357A | IN |
N | 207RC0200X | Critical Care Medicine | 036113060 | IL |
N | 207RP1001X | Pulmonary Disease | 01085357A | IN |
N | 207RP1001X | Pulmonary Disease | 036113060 | IL |
N | 207RS0012X | Sleep Medicine | 01085357A | IN |
N | 207RS0012X | Sleep Medicine | 36113060 | IL |
NPI | 1003937350 |
---|---|
Provider Name | Sahar Halabi |
First Address | Detroit, MI 48278-1076 |
Second Address | Munster, IN 46321-2899 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 21/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003937350 | NPI (01) | IL |
200265904 | TID (01) | IL |
364322170 | TID (01) | IL |