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Individual

GHAYAS ALI HABACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
291 JAMES PAYTON BLVD, SYLACAUGA, AL 35150-8047
(256) 249-0028
(256) 249-0019
Mailing address
PO BOX 2038, SYLACAUGA, AL 35150-5038
(256) 249-0028
(256) 249-0019

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
17714
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000077420
AL
05
009939531
AL
05
009940116
AL
05
009974915
AL
05
009974925
AL
01
51504549
BC/BS - SYLACAUGA
01
51517000
BC/BS - GOODWATER
01
51523146
BC/BS - LANDMARK DIALYSIS
01
51524305
BC/BS - CITIZENS HOSPITAL
01
51536048
BCBS TALL CLINIC
AL
01
51536235
BCBS - CBURG
AL
05
529908510
AL
05
529927850
AL
05
540003928
AL
05
543928002
AL
Enumeration date
11/16/2005
Last updated
10/18/2013
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