Individual
AHSAN HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 552-8865
Mailing address
13117 TWILIGHT CT, GERMANTOWN, MD 20874-1163
(240) 418-9366
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016052-1
NY
Other
Enumeration date
10/18/2012
Last updated
09/21/2021
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