Individual
BAHER N HABEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2951
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2951
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
55238-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457334617
—
WI
Enumeration date
11/22/2005
Last updated
11/18/2020
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