Individual
SANA HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N DETROIT ST, LAGRANGE, IN 46761-1158
(260) 463-2133
Mailing address
PO BOX 236, LAGRANGE, IN 46761-0236
(260) 463-2133
(260) 463-3775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01095888A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4351049987
MI
Other
Enumeration date
07/05/2022
Last updated
06/03/2025
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