Individual
ALI K HUSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1802 BRAEBURN DR, SUITE 1310, SALEM, VA 24153-7357
(540) 776-2020
(540) 776-2017
Mailing address
1802 BRAEBURN DR, SUITE 1310, SALEM, VA 24153-7357
(540) 776-2020
(540) 776-2017
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
00497
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101255992
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124040472
—
VA
01
—
1263K
BCBS-NC INDIV
NC
05
—
891263K
—
NC
Enumeration date
07/24/2006
Last updated
09/18/2014
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