Organization Active NPI

Sally Habib, M.D.,LLC

  • Internal Medicine Physician
  • Towson, MD
National Provider Identifier
1104255702
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D42149 Issued in MD
Legal business name
SALLY HABIB, M.D.,LLC
Practice address
120 Sister Pierre Dr
Suite 306
Towson, MD 21204-7516
Phone
(410) 823-0358
Fax
(410) 823-8381
NPI assigned
Nov 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sally Habib, M.D.
Title
Owner/Physician
Phone
(410) 823-0358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D42149 MD Primary

Addresses

Primary practice location

120 Sister Pierre Dr
Suite 306
Towson, MD 21204-7516

Mailing address

120 Sister Pierre Dr
Suite 306
Towson, MD 21204-7516
Phone (410) 823-0358

National Provider Directory

National Provider Directory

Locations

120 Sister Pierre Dr
Ste 306
Towson, MD 21204
Phone (410) 823-0358

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1104255702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR",
            "address_2": "SUITE 306",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047516",
            "telephone_number": "410-823-0358",
            "fax_number": "410-823-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR",
            "address_2": "SUITE 306",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047516",
            "telephone_number": "410-823-0358",
            "fax_number": "410-823-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY HABIB, M.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "410-823-0358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D42149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.