Doctor Name: | RANIA A HABIB |
NPI Number: | 1538395843 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DDS, MD |
License Number: | D0080356 |
Business Practice Address: | 2401 Brandermill Blvd Suite #320 Gambrills, MD - 210541690 |
Business Phone Number: | 4107210700 |
Business Fax Number: | 4107215459 |
Mailing Address: | 14955 Shady Grove Rd, Suite #330 ROCKVILLE |
State: | MD |
Postal Code: | 208508700 |
Phone Number: | 3013400101 |
Fax Number: | 3013401689 |
NPI Enumeration Date: | 06/02/2009 |
NPI Last Update Date: | 10/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204E00000X |
License Number: | D0080356 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Oral & Maxillofacial Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: |