Individual
SHAJI HABEEBULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 PROSPECT ST, NASHUA, NH 03060
(603) 577-2045
Mailing address
PO BOX 3677, NASHUA, NH 03061-3677
(603) 577-7900
(603) 577-7972
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18734
NH
207R00000X
Internal Medicine Physician
228646
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005794
—
MA
Enumeration date
09/30/2005
Last updated
02/06/2019
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