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:
Health care specialties
Specialty | Code | License # | 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 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477534527 | NPPES |
Florida | Other | 28652 | BCBS |
Florida | MEDICAID | 272093100 | BCBS |
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