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Individual

DR. OMAR HUSSEINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9104 COLUMBIA AVE, MUNSTER, IN 46321
(219) 836-4773
Mailing address
9104 COLUMBIA AVE, MUNSTER, IN 46321-2907
(219) 836-4773

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036134453
IL
207RC0000X
Cardiovascular Disease Physician
Primary
01079973A
IN
208M00000X
Hospitalist Physician
036134453
IL

Other

Enumeration date
07/19/2011
Last updated
08/08/2018
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