Individual
DR. HABIBA TAHIRA HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1725 E 19TH ST STE 200, TULSA, OK 74104-5419
(918) 748-8381
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2730
(309) 655-3297
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
42427
OK
390200000X
Student in an Organized Health Care Education/Training Program
125072191
IL
Other
Enumeration date
08/06/2018
Last updated
07/01/2024
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