Individual
SUSAN ENAYAT-POUR HABIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4272
(207) 301-8542
(207) 301-5277
Mailing address
6 GLEN COVE DR, ROCKPORT, ME 04856-4272
(207) 301-8542
(207) 301-5277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101253199
VA
207R00000X
Internal Medicine Physician
MD29278
ME
208M00000X
Hospitalist Physician
0101253199
VA
208M00000X
Hospitalist Physician
Primary
MD29278
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
04/28/2011
Last updated
03/05/2026
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