Provider Demographics
NPI:1801566526
Name:HABIB, MOHAMMED ABRAR SR
Entity type:Individual
Prefix:MR
First Name:MOHAMMED
Middle Name:ABRAR
Last Name:HABIB
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3402 ELIZABETH JORDAN ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3842
Mailing Address - Country:US
Mailing Address - Phone:615-946-4095
Mailing Address - Fax:
Practice Address - Street 1:325 PLUS PARK BLVD STE 101G
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-1022
Practice Address - Country:US
Practice Address - Phone:615-946-4095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-14
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN076276765343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)