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Individual

DR. MOHAMMAD I HUSSAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 ST MARYS DR, SUITE 203 E, EVANSVILLE, IN 47714
(812) 479-8566
Mailing address
801 ST MARYS DR, SUITE 203 E, EVANSVILLE, IN 47714
(812) 479-8566

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01030793A
IN
2080P0207X
Pediatric Hematology & Oncology Physician
01030793
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100246530
IN
Enumeration date
03/07/2006
Last updated
06/10/2024
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