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Individual

MIAN ZARSHAWN HABIB JAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1415 FOULK RD STE 104, WILMINGTON, DE 19803-2748
(302) 478-1450
Mailing address
1415 FOULK RD STE 104, WILMINGTON, DE 19803-2748
(302) 478-1450

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C1-0026168
DE
2084P0800X
Psychiatry Physician
C7-0007143
DE
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/21/2019
Last updated
06/14/2023
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