Provider Demographics
NPI:1225183429
Name:AKRAWI, HABIB KHALID (MD)
Entity Type:Individual
Prefix:DR
First Name:HABIB
Middle Name:KHALID
Last Name:AKRAWI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8382 HOLLY RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-1971
Mailing Address - Country:US
Mailing Address - Phone:810-694-9110
Mailing Address - Fax:810-695-0343
Practice Address - Street 1:8382 HOLLY RD
Practice Address - Street 2:SUITE 1
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-1971
Practice Address - Country:US
Practice Address - Phone:810-694-9110
Practice Address - Fax:810-695-0343
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2012-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301067790208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIH03398Medicare UPIN