Individual
KHALID MUNEER HUSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 RIVER ST, SPRINGFIELD, VT 05156-2930
(802) 886-8900
Mailing address
570 QUECHEE RD, HARTLAND, VT 05048-9555
(207) 436-1488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042.0012949
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060872
ANTHEM
—
01
—
AA26525
HARVARD PILGRIM
—
Enumeration date
10/17/2005
Last updated
02/26/2020
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