Provider Demographics
NPI:1316001258
Name:HABEL, TODD DAVID (MD)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:DAVID
Last Name:HABEL
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 1:6400 THORNBERRY CT STE 610
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7818
Mailing Address - Country:US
Mailing Address - Phone:513-398-3900
Mailing Address - Fax:513-398-4950
Practice Address - Street 1:6400 THORNBERRY CT STE 610
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7818
Practice Address - Country:US
Practice Address - Phone:513-398-3900
Practice Address - Fax:513-398-4950
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-072001208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics