Provider Demographics
NPI:1356395628
Name:HABASHI, NEVEEN MAHER (MD)
Entity type:Individual
Prefix:
First Name:NEVEEN
Middle Name:MAHER
Last Name:HABASHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NEVEEN
Other - Middle Name:MAHER
Other - Last Name:HABASHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 172
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28093-0172
Mailing Address - Country:US
Mailing Address - Phone:704-735-3116
Mailing Address - Fax:704-735-5713
Practice Address - Street 1:501 N ASPEN ST
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-2105
Practice Address - Country:US
Practice Address - Phone:704-735-3116
Practice Address - Fax:704-735-5713
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32506207R00000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8937985Medicaid
NC2322834Medicare PIN
E96717Medicare UPIN