Provider Demographics
NPI:1972754976
Name:GHAHREMAN, HABIB HABIBI (DMD)
Entity Type:Individual
Prefix:
First Name:HABIB
Middle Name:HABIBI
Last Name:GHAHREMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:HABIB
Other - Middle Name:HABIBI
Other - Last Name:GHAHREMANNEZHAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18218 FLOWERHILL WAY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-5300
Mailing Address - Country:US
Mailing Address - Phone:301-963-0665
Mailing Address - Fax:301-963-1051
Practice Address - Street 1:18218 FLOWERHILL WAY
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-5300
Practice Address - Country:US
Practice Address - Phone:301-963-0665
Practice Address - Fax:301-963-1051
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08834122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist