Individual
MANSOOR A HUSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
322 E ANTIETAM ST, SUITE 106, HAGERSTOWN, MD 21740-5794
(301) 739-6144
Mailing address
322 E ANTIETAM ST, SUITE 106, HAGERSTOWN, MD 21740-5794
(301) 739-6144
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101285415
VA
2085R0202X
Diagnostic Radiology Physician
Primary
D63264
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223351701
—
MD
Enumeration date
03/12/2007
Last updated
04/25/2025
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