Habboub, Husam

Habboub, Husam is an individual health care provider with primary practice located at 1305 Lakeland Hills Blvd , Lakeland FL 33805-4542. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Habboub, Husam can be contacted via phone (863) 688-2334.

Contact Information

Primary practice address
1305 Lakeland Hills Blvd Lakeland FL 33805-4542
Phone: (863) 688-2334
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME88762 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME88762 Florida

Profile Details

NPI number 1477534527
LBN Legal business name Habboub, Husam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 19th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477534527 NPPES
Florida Other 28652 BCBS
Florida MEDICAID 272093100 BCBS

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