Individual
MR. ALI HABEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9555 76TH ST FL 2, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8300
(262) 577-8414
Mailing address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
408864
CT
207RI0200X
Infectious Disease Physician
70181
CT
207RI0200X
Infectious Disease Physician
Primary
86662
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100395102
—
WI
05
—
1528414653
—
CT
05
—
1528414653
—
RI
Enumeration date
05/07/2016
Last updated
05/08/2026
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