Individual
SHAZIA HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1102 W 32ND STREET, JOPLIN, MO 64804
(417) 347-1111
Mailing address
PO BOX 3810, JOPLIN, MO 64803
(417) 347-1111
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2003020130
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181350
ANTHEM
MO
05
—
200000230A
—
KS
05
—
200016060A
—
OK
05
—
208755207
—
MO
01
—
P00054298
RR MEDICARE
—
Enumeration date
07/07/2006
Last updated
02/29/2024
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