Individual
ROY HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3490
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3490
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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