Individual
HABIBA FAYYAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 BURNET AVE, CINCINNATI, OH 45229-3019
(513) 475-8521
(513) 475-7480
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35152644
OH
208D00000X
General Practice Physician
Primary
35.152644
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2022
Last updated
03/16/2026
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