Individual
DR. HABIB ELGHOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 MARION AVE, MCCOMB, MS 39648-2706
(601) 249-1570
(601) 249-1544
Mailing address
393 E WALNUT ST, PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FL, PASADENA, CA 91188-0001
(877) 608-0044
(877) 514-0903
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
C133147
CA
Other
Enumeration date
07/28/2008
Last updated
10/22/2021
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