Individual
DR. AHMAD W HUSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 784-3045
Mailing address
400 C DEPOT ST, PO BOX 303, BURNSVILLE, WV 26335
(304) 853-2461
(304) 853-2468
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
17283
WV
207RP1001X
Pulmonary Disease Physician
Primary
A49093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204374000
—
WV
Enumeration date
09/26/2006
Last updated
10/14/2024
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