Shehnaz N. Habib, M.D. a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A50211 Issued in CA

Legal business name

SHEHNAZ N. HABIB, M.D. A PROFESSIONAL CORPORATION

Practice address

14860 Roscoe Blvd
Suite 300
Panorama City, CA 91402-4665

Phone

(818) 782-0604

Fax

(818) 989-0780

NPI assigned

May 18, 2010

Organization subpart

No

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

Authorized official

Name

Shehnaz N. Habib, M.D.NPI 1215039631

Title

M.D.

Phone

(818) 782-0604

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shehnaz N Habib, M.D.

  • Internal Medicine Physician
  • Panorama City, CA
  • NPI 1215039631

  CA, Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Minu Johnson Pottukalam, FNP-C

  • Family Nurse Practitioner
  • Porter Ranch, CA
  • NPI 1922804426

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1346569217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD",
            "address_2": "SUITE 300",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024665",
            "telephone_number": "818-782-0604",
            "fax_number": "818-989-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD",
            "address_2": "SUITE 300",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024665",
            "telephone_number": "818-782-0604",
            "fax_number": "818-989-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEHNAZ N. HABIB, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "SHEHNAZ",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "818-782-0604",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A50211",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A502110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Balasubrahmanyan Shantha, MD
• Nadine Shashaty, D.D.S.
• Robert C. Shaw, MD
• Julie Shawki, M.D.
• Mahvash Shayan, DDS
• Eric Sheidenberger
• Mark William Sheidenberger
• Patrick Joseph Sheldon, MD
• Peter Shelly, CRNA
• Sameh Shenouda, MD

• All providers in Panorama City, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.