Individual
KHANDAKAR HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9104
(814) 534-3559
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9104
(814) 534-3559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD464238
PA
207R00000X
Internal Medicine Physician
MT208870
PA
Other
Enumeration date
06/11/2015
Last updated
10/18/2018
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