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Individual

HISHAM HUSSAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3160 FOLSOM BLVD STE 3500, SACRAMENTO, CA 95816-5270
(916) 734-3759
Mailing address
3160 FOLSOM BLVD STE 3500, SACRAMENTO, CA 95816-5270
(916) 734-3759

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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