Organization
AHMED HUSARI, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. AHMED W HUSARI MD (PRESIDENT / MEDICAL DIRECTOR)
(304) 853-2461
Entity
Organization
Contact information
Practice address
1194 PINEVIEW DR, MORGANTOWN, WV 26505
(304) 599-1100
(304) 599-1353
Mailing address
400 C DEPOT ST, P O BOX 303, BURNSVILLE, WV 26335-0303
(304) 853-2461
(304) 853-2468
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
WV17283
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000748762
BC/BS MOUNTAIN STATE
WV
05
—
0204374000
—
WV
01
—
105121
BLACK LUNG
WV
01
—
290015332
TRAVELERS RAILROAD MEDICA
WV
01
—
356813
MAMSI
WV
01
—
WV17283G
HEALTH PLAN WV
WV
Enumeration date
10/11/2006
Last updated
07/28/2010
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