Individual
AFIF S HABASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4920 MACCORKLE AVE SE, CHARLESTON, WV 25304-2052
(304) 442-8117
Mailing address
4920 MACCORKLE AVE SE, CHARLESTON, WV 25304-2052
(304) 925-1115
(304) 925-1117
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
10704
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105028000
—
WV
Enumeration date
04/05/2006
Last updated
05/29/2019
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