Individual
IKRAM HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 HOSPITAL DR, JACKSON, AL 36545-2459
(251) 246-9021
(251) 246-1122
Mailing address
220 HOSPITAL DR, JACKSON, AL 36545-2459
(251) 246-9021
(251) 246-1122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00025412
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009949265
—
AL
01
—
515-21454
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/08/2006
Last updated
07/08/2007
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