Individual
DR. TAHA HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
966 BARTLEY ST # 47546, JASPER, IN 47546-2641
(438) 948-0100
Mailing address
966 BARTLEY ST # 47546, JASPER, IN 47546-2641
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11020790A
IN
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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