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Individual

FARIZ HABIB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
920 SIXTH AVE, LEAVENWORTH, KS 66048
(913) 682-6200
(913) 682-3244
Mailing address
920 SIXTH AVE, LEAVENWORTH, KS 66048
(913) 682-6200
(913) 682-3244

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0422643
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
045171
BLUE CROSS
05
100141800A
KS
01
21285037
BLUE CROSS
Enumeration date
03/28/2006
Last updated
09/19/2011
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