# DR. ISHRAT HUSAIN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851708085
- **Authorized official:** ISHRAT HUSAIN M.D. (OWNER)
- **Authorized official phone:** (419) 690-0888

## Contact information

- **Practice address:** 1050 ISAAC STREETS DR, SUITE 102, OREGON, OH 43616-3291
- **Practice address phone:** (419) 690-0888
- **Practice address fax:** (419) 690-8228
- **Mailing address:** 1050 ISAAC STREETS DR, SUITE 102, OREGON, OH 43616-3291
- **Mailing address phone:** (419) 690-0888
- **Mailing address fax:** (419) 690-8228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 49280 | OH | Yes |

## Other

- **Enumeration date:** 07/21/2014
- **Last updated:** 07/21/2014