Individual
DR. MICHAEL AYAD HABOUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8801 S 101ST EAST AVE, TULSA, OK 74133-5716
(918) 294-4000
Mailing address
6120 S YALE AVE STE 1210, TULSA, OK 74136-4234
(918) 888-5211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT013039
PA
2084N0400X
Neurology Physician
Primary
TP299
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100133080
—
KY
Enumeration date
07/20/2009
Last updated
06/21/2024
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