Individual
DR. ISHRAT HUSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7365 CARNELIAN ST, STE #137, RANCHO CUCAMONGA, CA 91730-1100
(909) 948-8888
(909) 948-8839
Mailing address
7365 CARNELIAN ST, STE #137, RANCHO CUCAMONGA, CA 91730-1100
(909) 948-8888
(909) 948-8839
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C39629
CA
207ND0900X
Dermatopathology Physician
C39629
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C396290
—
CA
Enumeration date
10/13/2006
Last updated
04/21/2011
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