Provider Demographics
NPI:1922301597
Name:HABIBA HEALTH SERVICES, P.C.
Entity Type:Organization
Organization Name:HABIBA HEALTH SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MAMOON
Authorized Official - Middle Name:A
Authorized Official - Last Name:RASHEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-628-3010
Mailing Address - Street 1:600 N PENN ST
Mailing Address - Street 2:
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-2725
Mailing Address - Country:US
Mailing Address - Phone:724-628-3010
Mailing Address - Fax:724-628-3262
Practice Address - Street 1:600 N PENN ST
Practice Address - Street 2:
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-2725
Practice Address - Country:US
Practice Address - Phone:724-628-3010
Practice Address - Fax:724-628-3262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA055855-L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015601090005Medicaid
PA0015601090005Medicaid