Individual
DR. KAMRAN HUSSAINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HEALTH CARE DR, GREENVILLE, IL 62246-1154
(618) 664-1230
Mailing address
1402 S. GRAND, FDT 12TH FLOOR, ST. LOUIS, MO 63104
(314) 977-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.142642
IL
208M00000X
Hospitalist Physician
Primary
036.142642
IL
208M00000X
Hospitalist Physician
2018003023
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2014
Last updated
10/08/2019
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