Provider Demographics
NPI:1598935959
Name:HABIB, PAMELA (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:HABIB
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:490 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-1319
Mailing Address - Country:US
Mailing Address - Phone:614-638-1231
Mailing Address - Fax:
Practice Address - Street 1:3601 W 13 MILE RD
Practice Address - Street 2:WILLIAM BEAUMONT HOSPITAL
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6712
Practice Address - Country:US
Practice Address - Phone:248-898-6064
Practice Address - Fax:248-898-5490
Is Sole Proprietor?:No
Enumeration Date:2008-03-01
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43011020772085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology