Individual
DR. EMAD AL-GHUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-5175
(479) 314-5185
Mailing address
PO BOX 17000, FORT SMITH, AR 72917-7000
(479) 314-5175
(479) 314-5185
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
E0339
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100061920D
—
OK
05
—
127528001
—
AR
01
—
5J653
AR BCBS
AR
Enumeration date
07/18/2006
Last updated
06/05/2009
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