Individual
ISAM HASAN HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 W JEFFERSON ST STE 202, FRANKLIN, IN 46131
(317) 346-3883
(317) 346-3141
Mailing address
1155 W JEFFERSON ST STE 104, FRANKLIN, IN 46131-2731
(317) 346-7934
(317) 346-2712
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036151328
IL
207RP1001X
Pulmonary Disease Physician
036151328
IL
207RP1001X
Pulmonary Disease Physician
Primary
33631
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200907990
—
IN
Enumeration date
02/06/2006
Last updated
09/30/2024
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