Provider Demographics
NPI:1629075395
Name:HABIBE, ALEX ORLANDO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:ORLANDO
Last Name:HABIBE
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 1:1383 E HERNDON AVE
Mailing Address - Street 2:STE 105
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3302
Mailing Address - Country:US
Mailing Address - Phone:559-233-4691
Mailing Address - Fax:
Practice Address - Street 1:1383 E HERNDON AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3302
Practice Address - Country:US
Practice Address - Phone:559-233-4691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91655207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine