Individual
DR. HUSSAM A FUSTOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(740) 779-8572
Mailing address
1968 FISHINGER RD, UPPER ARLINGTON, OH 43221-1372
(281) 701-2926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2022045087
MO
207R00000X
Internal Medicine Physician
Primary
35.134179
OH
208M00000X
Hospitalist Physician
2022045087
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299838
—
OH
05
—
1740669845
—
MO
Enumeration date
05/21/2015
Last updated
08/24/2023
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