Individual
AMBER HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3743 LANDMARK DR STE 200, LAFAYETTE, IN 47905-6656
(765) 448-4511
(765) 447-8375
Mailing address
3743 LANDMARK DR STE 200, LAFAYETTE, IN 47905-6656
(765) 448-4511
(765) 447-8375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050070A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000207928
ANTHEM ID#
IN
01
—
000000603862
ANTHEM PROVIDER NUMBER / ARNETT CLINIC, LLC
IN
05
—
200284360
—
IN
Enumeration date
11/13/2006
Last updated
11/08/2022
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