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Individual

DR. USAMA TAHA HUSSEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1800 CAMELOT DR STE 401, VIRGINIA BEACH, VA 23454-2440
(757) 496-3706
Mailing address
1800 CAMELOT DR STE 401, VIRGINIA BEACH, VA 23454-2440
(757) 496-3706

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101248713
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1194907527
BCBS
VA
05
1194907527
VA
05
5921330
NC
Enumeration date
11/27/2007
Last updated
10/16/2012
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