Individual
FAHIM A. HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20333 N 19TH AVE STE 230, PHOENIX, AZ 85027-9901
(480) 707-9504
(602) 581-7764
Mailing address
20333 N 19TH AVE STE 230, PHOENIX, AZ 85027-9901
(480) 707-9504
(602) 581-7764
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD455975
PA
2086S0102X
Surgical Critical Care Physician
Primary
58639
AZ
2086S0102X
Surgical Critical Care Physician
MD455975
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147768
—
OH
05
—
2716178-00
—
FL
Enumeration date
04/19/2006
Last updated
01/05/2025
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