Individual
DR. ALI IMTIAZ HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-6691
(270) 825-6696
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-6691
(270) 825-6696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50573
KY
Other
Enumeration date
05/12/2015
Last updated
01/31/2019
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