Individual
TASSAWAR HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 16TH ST, INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL, BEDFORD, IN 47421-3510
(812) 278-8800
(812) 275-1343
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01070268A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163460048
MEDICARE PTAN
IN
05
—
201039580
—
IN
Enumeration date
07/12/2008
Last updated
06/28/2023
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