Individual
AHMER HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 N BROADWAY ST, BOX 787, POTEAU, OK 74953-2609
(918) 649-0731
(918) 649-3960
Mailing address
1001 N BROADWAY ST, P.O. BOX 787, POTEAU, OK 74953-2609
(918) 649-0731
(918) 649-3960
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18988
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020654565002
BCBS
OK
05
—
100108690E
—
OK
05
—
200038910B
—
OK
Enumeration date
02/21/2006
Last updated
07/03/2013
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