Alex O Habibe Md Inc | |
1383 E Herndon Ave Ste 105 Fresno CA 93720-3302 | |
(559) 233-4691 | |
Not Available |
Full Name | Alex O Habibe Md Inc |
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Speciality | Clinic/Center |
Location | 1383 E Herndon Ave, Fresno, California |
Authorized Official Name and Position | Alex O Habibe (PRESIDENT) |
Authorized Official Contact | 5592334691 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alex O Habibe Md Inc 1383 E Herndon Ave Ste 105 Fresno CA 93720-3302 Ph: (559) 233-4691 | Alex O Habibe Md Inc 1383 E Herndon Ave Ste 105 Fresno CA 93720-3302 Ph: (559) 233-4691 |
NPI Number | 1982700597 |
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Provider Enumeration Date | 09/15/2006 |
Last Update Date | 02/13/2009 |
Medicare PECOS PAC ID | 8527088095 |
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Medicare Enrollment ID | O20061020000296 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982700597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | A91655 (California) | Primary |
Provider Name | Alex Orlando Habibe |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629075395 PECOS PAC ID: 7113955840 Enrollment ID: I20050802001427 |
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