Individual
HUSSAIN IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 257-5950
(417) 257-5924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
(4301103182
MI
207RI0011X
Interventional Cardiology Physician
Primary
2019043159
MO
207RI0011X
Interventional Cardiology Physician
TRN28534
FL
Other
Enumeration date
07/30/2013
Last updated
09/27/2024
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