| Shehnaz N. Habib, M.d. A Professional Corporation | |
|
14860 Roscoe Blvd Suite 300 Panorama City CA 91402-4665 | |
| (818) 782-0604 | |
| (818) 989-0780 |
| Full Name | Shehnaz N. Habib, M.d. A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 14860 Roscoe Blvd, Panorama City, California |
| Authorized Official Name and Position | Shehnaz N. Habib (M.D.) |
| Authorized Official Contact | 8187820604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shehnaz N. Habib, M.d. A Professional Corporation 14860 Roscoe Blvd Suite 300 Panorama City CA 91402-4665 Ph: (818) 782-0604 | Shehnaz N. Habib, M.d. A Professional Corporation 14860 Roscoe Blvd Suite 300 Panorama City CA 91402-4665 Ph: (818) 782-0604 |
| NPI Number | 1346569217 |
|---|---|
| Provider Enumeration Date | 05/18/2010 |
| Last Update Date | 05/18/2015 |
| Medicare PECOS PAC ID | 9234268871 |
|---|---|
| Medicare Enrollment ID | O20100520000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346569217 | NPI | - | NPPES |
| 00A502110 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A50211 (California) | Secondary |
| 207R00000X | Internal Medicine | A50211 (California) | Primary |
| Provider Name | Shehnaz N Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215039631 PECOS PAC ID: 6709961063 Enrollment ID: I20100520000398 |
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