# HABIB REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649747262
- **Authorized official:** HABIB M FANNY MD (SOLE OWNER/AUTH IND)
- **Authorized official phone:** (734) 262-4663

## Contact information

- **Practice address:** 1255 HILYARD ST, EUGENE, OR 97401-3718
- **Practice address phone:** (734) 262-4663
- **Practice address fax:** (458) 209-5028
- **Mailing address:** PO BOX 1000 DEPT 3012, MEMPHIS, TN 38148-3012
- **Mailing address phone:** (734) 262-4663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2018
- **Last updated:** 02/19/2021