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Individual

MAHNOOR TAJ HUSSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8701 BROADWAY, MERRILLVILLE, IN 46410-7035
(219) 738-5500
Mailing address
25985 KINGSHILL DR, KINGWOOD, TX 77339-5048
(832) 560-4030

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary

Other

Enumeration date
06/16/2025
Last updated
06/16/2025
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