Habib R. Kelly M.D. in Philadelphia - Specialist

Habib R. Kelly M.D. - NPI 1720112477

Habib R. Kelly M.D. is a Specialist in Philadelphia, Pennsylvania. Habib R. Kelly M.D. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Habib R. Kelly M.D. is 1720112477. The last update date is 2020-08-22.

Habib R. Kelly M.D.'s current location address is 6112 Torresdale Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2153337437 and fax number 2153339558. The mailing address for Habib R. Kelly M.D. is 6112 Torresdale Ave, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Habib R. Kelly M.D.
Address 6112 Torresdale Ave, Philadelphia, Pennsylvania
Phone Number 2153337437
Fax Number 2153339558
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kelly R Habib
Credentials M.D.
Telephone Number 2153337437

NPI Number Detail

NPI Number 1720112477
Provider Enumeration Date 2007-03-15
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 6112 Torresdale Ave
City Philadelphia
State Pennsylvania (PA)
Post Code 191353718
Phone Number 2153337437
Fax Number 2153339558

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD031034L
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5884910003 PA --
53497000 PA HIPAA
1407853849 PA INDIVIDUAL NPI

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FAQs about Habib R. Kelly M.D.

What is the unique 10-digit identifier code assigned to Habib R. Kelly M.D. by the Centers for Medicare & Medicaid Services?

The Habib R. Kelly M.D. has been issued the NPI (National Provider Identifier) 1720112477 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Habib R. Kelly M.D.'s physical address?

The Habib R. Kelly M.D. is physically located at 6112 Torresdale Ave, in the city of Philadelphia, PA, with the postal code 191353718.

What is Habib R. Kelly M.D.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Habib R. Kelly M.D.'s specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Habib R. Kelly M.D. receive its 1720112477 assignment from the Centers for Medicare & Medicaid Services?

The Habib R. Kelly M.D. was assigned its 1720112477 by the Centers for Medicare & Medicaid Services on 2007-03-15.

When was the information pertaining to Habib R. Kelly M.D. most recently updated or revised?

The details related to Habib R. Kelly M.D., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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