Provider Demographics
NPI:1295252518
Name:HABIB, HENNA ZEHRA (PA-C)
Entity type:Individual
Prefix:MS
First Name:HENNA
Middle Name:ZEHRA
Last Name:HABIB
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 GARRISONVILLE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-1552
Mailing Address - Country:US
Mailing Address - Phone:540-254-7899
Mailing Address - Fax:
Practice Address - Street 1:235 GARRISONVILLE RD STE 201
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-1552
Practice Address - Country:US
Practice Address - Phone:540-254-7899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-28
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01100059102084P0800X
PAOA004241363A00000X
PA363A00000X
PAMA059241363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry