Individual
MR. HENRY HABRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608
(916) 983-7561
(916) 984-7392
Mailing address
PO BOX 1809, ORANGE, CA 92856-0809
(714) 560-1580
(714) 560-1585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G83681
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G836810
BS OF CA
CA
05
—
00G836810
—
CA
Enumeration date
05/28/2006
Last updated
06/12/2013
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