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Individual
MOAZZAM W HABIB
Active
Individual
MOAZZAM W HABIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01040236A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01040236A
IN
Other
Enumeration date
09/25/2006
Last updated
01/21/2019
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