Provider Demographics
NPI:1083935795
Name:FONSECA-SABUNE, HABIMANA D (MD)
Entity Type:Individual
Prefix:DR
First Name:HABIMANA
Middle Name:D
Last Name:FONSECA-SABUNE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4707 CONNECTICUT AVE NW APT 110
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-5619
Mailing Address - Country:US
Mailing Address - Phone:646-593-1174
Mailing Address - Fax:
Practice Address - Street 1:4707 CONNECTICUT AVE NW APT 110
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-5619
Practice Address - Country:US
Practice Address - Phone:646-593-1174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program