Christa Habboushe, MD, LLC
Organization Active NPI Family Medicine Physician · Phila, PA
NPI 1053418293 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1053418293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD033959L (PA)
- Legal business name
- CHRISTA HABBOUSHE, MD, LLC
- Practice address
- 4534 Richmond St
Phila, PA 19137-2040 - Phone
- (215) 743-3335
- Fax
- (215) 744-2109
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Christa Habboushe, MD, LLC
- Title
- Owner
- Phone
- (215) 743-3335
Practitioners 2
-
Christa P Habboushe, M.D.
-
Fawzi P Habboushe, M.D.
National Provider Directory
Locations
4534 Richmond St
Philadelphia, PA 19137
Phone (215) 735-4223
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | MD033959L | PA | Yes |
Addresses
Primary practice location
4534 Richmond St
Phila, PA 19137-2040
Mailing address
4534 Richmond St
Phila, PA 19137-2040
Phone (215) 743-3335
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3297483 | Other | PA | ENTITY NUMBER |
Other providers in Phila, PA
- Chestnut Hill Medical
- Ramsey H. Chew Jr.
- Daranee Chewaproug
- Andrew Kah Wai Chong
- Cuckoo Choudhary
- Debra Christian-Grandy
- Deborah Heeran Chun
- Augustine Ciardullo
- City of Phila
- City of Philadelphia
All providers in Phila, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.