Individual
AMMAR HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9119 W 74TH ST STE 350, MERRIAM, KS 66204-2268
(913) 632-9400
(913) 632-9444
Mailing address
9119 W 74TH ST STE 350, MERRIAM, KS 66204-2268
(913) 632-9400
(913) 632-9444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
104510
MN
207R00000X
Internal Medicine Physician
52236
MN
207RC0000X
Cardiovascular Disease Physician
0438272
KS
207RI0011X
Interventional Cardiology Physician
Primary
04-38272
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201133590A
—
KS
05
—
ENROLLED
—
MN
01
—
P00773915
MEDICARE RAILROAD
MN
Enumeration date
07/22/2008
Last updated
07/25/2023
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