Provider Demographics
NPI:1831255272
Name:HABIB, FARHANA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:FARHANA
Middle Name:
Last Name:HABIB
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7870 CHESTNUT RDG
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-8902
Mailing Address - Country:US
Mailing Address - Phone:419-865-2575
Mailing Address - Fax:
Practice Address - Street 1:7870 CHESTNUT RDG
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-8902
Practice Address - Country:US
Practice Address - Phone:419-865-2575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350694222083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine