Individual
HABIB T KEDIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 258-6259
Mailing address
4184 ASTON MARTIN CT APT C, COLUMBUS, OH 43232-8284
(202) 352-3364
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
81887
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154900173
—
WI
Enumeration date
04/06/2021
Last updated
08/29/2024
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