Basic Information
Provider Information
NPI: 1023047727
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HALABI
FirstName: NAMMAN
MiddleName: N
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 846 HOODS MILL RD
Address2:  
City: COOKSVILLE
State: MD
PostalCode: 217239710
CountryCode: US
TelephoneNumber: 4104892818
FaxNumber:  
Practice Location
Address1: 1150 VARNUM ST NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 20017
CountryCode: US
TelephoneNumber: 2022697000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/03/2006
LastUpdateDate: 09/22/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XMD20176DCY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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