Individual
DR. ILTIFAT HUSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Mailing address
4792 TATTON PARK CIR, 3-B, WINSTON SALEM, NC 27103-5376
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2014-01396
NC
Other
Enumeration date
06/14/2011
Last updated
07/01/2014
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