Individual
HUSSAM KUDSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3998 RED LION RD, SUITE 235, PHILADELPHIA, PA 19114-1445
(215) 632-3630
(215) 632-3544
Mailing address
434 GREENE LN, PHOENIXVILLE, PA 19460-5613
(817) 341-2660
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD430344
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025134380001
—
PA
01
—
2520599
HIGHMARK BLUE SHIELD
PA
01
—
30092324
KEYSTONE MERCY
PA
01
—
3798261000
KEYSTONE IBC
PA
01
—
46749MD430344
HEALTH PARTNERS
PA
01
—
6577180
AETNA HMO
PA
Enumeration date
07/02/2010
Last updated
09/17/2021
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