Provider Demographics
NPI:1306830096
Name:HABET, KALIM JESUS (MD)
Entity type:Individual
Prefix:DR
First Name:KALIM
Middle Name:JESUS
Last Name:HABET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 HEART DRIVE
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520
Mailing Address - Country:US
Mailing Address - Phone:956-504-3278
Mailing Address - Fax:956-504-3287
Practice Address - Street 1:213 HEART DRIVE
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520
Practice Address - Country:US
Practice Address - Phone:956-504-3278
Practice Address - Fax:956-504-3287
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3221207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8406K3Medicare PIN
TXF54015Medicare UPIN