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Individual

SAJJAD M HUSSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8433 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260
(317) 583-7600
Mailing address
8433 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260-2193

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01039531A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000083160
BCBS PIN
05
100326030
IN
01
760000006
RAILROAD MEDICARE
01
P01185564
RAILROAD MEDICARE
IN
Enumeration date
07/18/2006
Last updated
06/30/2022
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