| Doctor Name: | DR. HAIFA ALJANABI SHABAN |
| NPI Number: | 1649216623 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | D0040803 |
| Business Practice Address: | 15005 Shady Grove Rd Suite 350 Rockville, MD - 208506340 |
| Business Phone Number: | 3017629413 |
| Business Fax Number: | 3015763634 |
| Mailing Address: | 13811 Bison Ct, SILVER SPRING |
| State: | MD |
| Postal Code: | 209062000 |
| Phone Number: | 3018712077 |
| Fax Number: | 3015763634 |
| NPI Enumeration Date: | 06/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D0040803 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |