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NPI Code Detail

MEDICARE: ABDIRAHMAN HUSSEIN M.D.

MEDICARE: ABDIRAHMAN HUSSEIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician04-46464KS

General Provider Information

NPI Number : 1023660297
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDIRAHMAN HUSSEIN M.D.
Provider Business Mailing Address
First Line : 14800 W SAINT TERESA ST
Second Line :
City : WICHITA
State : KS
Zip : 67235-9602
Country : US
Telephone Number : 316-268-6976
Fax Number :
Provider Business Practice Location Address
First Line : 14800 W SAINT TERESA ST
Second Line :
City : WICHITA
State : KS
Zip : 67235-9602
Country : US
Telephone Number : 316-268-6976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2019
Last Update Date : 11/21/2025

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