Provider Demographics
NPI:1629431747
Name:HABIB, SANA (MD)
Entity type:Individual
Prefix:MISS
First Name:SANA
Middle Name:
Last Name:HABIB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 19TH ST NW STE 203
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-3719
Mailing Address - Country:US
Mailing Address - Phone:202-861-8888
Mailing Address - Fax:505-272-8060
Practice Address - Street 1:1145 19TH ST NW STE 203
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-3719
Practice Address - Country:US
Practice Address - Phone:202-861-8888
Practice Address - Fax:505-272-8060
Is Sole Proprietor?:No
Enumeration Date:2016-04-05
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD600001699207K00000X, 207KA0200X
CAA173985207K00000X
VA0101283188207K00000X
MO2019010035208000000X
NM390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program