Provider Demographics
NPI:1073618633
Name:HABASHY, MICHAEL FAROUK (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:FAROUK
Last Name:HABASHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2625 W ALAMEDA AVE
Mailing Address - Street 2:SUIT AVE 516
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4806
Mailing Address - Country:US
Mailing Address - Phone:818-729-9111
Mailing Address - Fax:818-729-9992
Practice Address - Street 1:2625 W ALAMEDA AVE
Practice Address - Street 2:SUIT # 516
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4806
Practice Address - Country:US
Practice Address - Phone:818-729-9111
Practice Address - Fax:818-729-9992
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA83772207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology