Active NPI
Magdy A. Habib, M.D.
- Specialist
- Spartanburg, SC
National Provider Identifier
1164487377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 8147
- Practice address
- 1702 Skylyn Dr
Spartanburg, SC 29307-1040 - Phone
- (864) 585-3608
- Fax
- (864) 585-3745
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 8147 | SC | Primary |
Addresses
Primary practice location
1702 Skylyn Dr
Spartanburg, SC 29307-1040
Mailing address
1702 Skylyn Dr
Spartanburg, SC 29307-1040
Phone (864) 585-3608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D174621754 | Other | SC | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8147 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1164487377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 SKYLYN DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293071040",
"telephone_number": "864-585-3608",
"fax_number": "864-585-3745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 SKYLYN DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293071040",
"telephone_number": "864-585-3608",
"fax_number": "864-585-3745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABIB",
"first_name": "MAGDY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "8147",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "D174621754",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.