Provider Demographics
NPI:1033290101
Name:MUNSHI, HABIB G (MD)
Entity Type:Individual
Prefix:DR
First Name:HABIB
Middle Name:G
Last Name:MUNSHI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:875 EAST HWY 76 SUITE A
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-7511
Mailing Address - Country:US
Mailing Address - Phone:417-334-5864
Mailing Address - Fax:417-334-4978
Practice Address - Street 1:875 E STATE HIGHWAY 76
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-9647
Practice Address - Country:US
Practice Address - Phone:417-334-5864
Practice Address - Fax:417-334-4978
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2018-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO116317207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO203893409Medicaid
MO203893409Medicaid
F93559Medicare UPIN