Individual
ROY HABIB
Active
Individual
ROY HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101055535
VA
208M00000X
Hospitalist Physician
0101055535
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010407524
—
VA
05
—
1588643100
—
VA
01
—
P00276923
MEDICARE RAILROAD
VA
01
—
P00403457
MEDICARE RAILROAD
—
Enumeration date
01/12/2006
Last updated
02/10/2022
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