Basic Information
| Provider Information | |||||||||
| NPI: | 1427198290 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HABEEB | ||||||||
| FirstName: | RIZWAN | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 420 | ||||||||
| Address2: | |||||||||
| City: | DAYTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 228210420 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5408792583 | ||||||||
| FaxNumber: | 5408792659 | ||||||||
| Practice Location | |||||||||
| Address1: | 235 CANTRELL AVE | ||||||||
| Address2: | ANESTHESIA DEPARTMENT | ||||||||
| City: | HARRISONBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 228013248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5408797063 | ||||||||
| FaxNumber: | 5408792659 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/08/2007 | ||||||||
| LastUpdateDate: | 03/01/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 0101244526 | VA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.