Gennaoui, Habib G

Gennaoui, Habib G is an individual health care provider with primary practice located at 26505 John R Rd , Madison Heights MI 48071-3611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gennaoui, Habib G can be contacted via phone (248) 547-3100.

Contact Information

Primary practice address
26505 John R Rd Madison Heights MI 48071-3611
Fax: (248) 547-4733
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301047821 Michigan

Profile Details

NPI number 1437140225
LBN Legal business name Gennaoui, Habib G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 6th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437140225 NPPES
Michigan MEDICAID 3206537

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