Individual
HISHAM HUSSAN
Active
Individual
HISHAM HUSSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
179407
CA
207RG0100X
Gastroenterology Physician
35123753
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107158
—
OH
Enumeration date
09/03/2008
Last updated
11/03/2022
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