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Individual

DR. MUHAMMAD M HUSSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1915 LAKE AVE, PLYMOUTH, IN 46563-9366
(574) 936-2585
Mailing address
PO BOX 746092, ATLANTA, GA 30374-6092
(574) 334-5400
(574) 237-1348

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
02005672A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300026844
IN
Enumeration date
10/28/2013
Last updated
11/15/2023
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