Organization
HUSSAINS FAMILY PRACTICE RHC
Active
Other names
Hussains Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMER HUSSAIN MD (OWNER)
(918) 465-5727
Entity
Organization
Contact information
Practice address
139 E MAIN ST, WILBURTON, OK 74578-4229
(918) 465-5727
(918) 465-3311
Mailing address
139 E MAIN ST, WILBURTON, OK 74578-4229
(918) 465-5727
(918) 465-3311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
89829
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124093414
AHMER HUSSAIN M.D. NPI
OK
01
—
1407971492
NPI
OK
01
—
SB1453
MEDICARE B
OK
Enumeration date
03/20/2007
Last updated
05/05/2015
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