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DR. MICHAEL AYAD HABOUBI D.O. NPI 1740410117


NPI Information

NPI: 1740410117
Provider Name: DR. MICHAEL AYAD HABOUBI, D.O.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES INC

PECOS Registration: Yes

Address:
401 E CHESTNUT ST
STE #310
LOUISVILLE, KY
ZIP 40202
Phone: (502) 588-4800
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DR. Michael Ayad Haboubi, D.O. is a neurology psychiatry neurology in Louisville, KY with 15 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Michael Ayad Haboubi, D.O. NPI is 1740410117. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2009

The provider's business location address is:

401 E CHESTNUT ST
STE #310
LOUISVILLE, KY
ZIP 40202-700
Phone: (502) 588-4800
Fax: (502) 588-4801

The NPI 1740410117 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/20/2009 and was last updated on 3/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineOT013039PENNSYLVANIANo
22084N0400XPsychiatry & NeurologyNeurologyTP299KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100133080MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.