Individual
DR. SULMAN M HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9104 COLUMBIA AVE, MUNSTER, IN 46321-2907
(219) 836-4473
Mailing address
9104 COLUMBIA AVE, MUNSTER, IN 46321-2907
(219) 836-4473
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
02003981A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201079360
—
IN
Enumeration date
05/23/2009
Last updated
03/06/2024
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