Individual
MOHAMMED ISSAM HABIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(215) 590-1858
(215) 590-1415
Mailing address
100 PENN SQUARE EAST, 9TH FLOOR NORTH-CAA, PHILADELPHIA, PA 19107-3323
(267) 425-9309
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
MD468904
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME135712
FL
Other
Enumeration date
05/07/2014
Last updated
09/16/2020
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