Individual
HATEM MAHMOUD HOSSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 MORRIS ST, STE 101, CHARLESTON, WV 25301-1842
(304) 343-8181
(304) 343-8247
Mailing address
415 MORRIS ST, STE 101, CHARLESTON, WV 25301-1842
(304) 343-8181
(304) 343-8247
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10690
WV
2086S0129X
Vascular Surgery Physician
10690
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127996000
—
WV
05
—
64026743
—
KY
Enumeration date
08/09/2006
Last updated
07/15/2010
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