Organization Active NPI

Habiba Tunau MD PLLC

  • Internal Medicine Physician
  • Laurinburg, NC
National Provider Identifier
1821185083
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2006-00989 Issued in NC
Legal business name
HABIBA TUNAU MD PLLC
Practice address
612 S Main St
Laurinburg, NC 28352-4536
Phone
(910) 266-0062
Fax
(910) 277-9208
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Dr. Habiba Tunau, M.D.
Title
Owner
Phone
(910) 266-0062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 2006-00989 NC Primary

Addresses

Primary practice location

612 S Main St
Laurinburg, NC 28352-4536

Mailing address

612 S Main St
Laurinburg, NC 28352-4536
Phone (910) 266-0062

Other identifiers 1

IdentifierTypeStateIssuer
5905553MedicaidNC

National Provider Directory

National Provider Directory

Locations

612 S Main St
Laurinburg, NC 28352
Phone (910) 266-0062

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1821185083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S MAIN ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524536",
            "telephone_number": "910-266-0062",
            "fax_number": "910-277-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S MAIN ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524536",
            "telephone_number": "910-266-0062",
            "fax_number": "910-277-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABIBA TUNAU MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "TUNAU",
        "authorized_official_first_name": "HABIBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-266-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2006-00989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905553",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.