Individual
ZEENAT HABIBULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3005 E STATE BLVD, FORT WAYNE, IN 46805-4736
(260) 267-9498
Mailing address
3005 E STATE BLVD, FORT WAYNE, IN 46805-4736
(260) 267-9498
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
01098178A
IN
2084P0802X
Addiction Psychiatry Physician
94-11590
KS
Other
Enumeration date
06/04/2022
Last updated
10/20/2025
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