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NPI Code Detail

MEDICARE: DR. ABRAR ALI HUSAIN M.D.

MEDICARE: DR. ABRAR ALI HUSAIN 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
1207Q00000XFamily Medicine Physician125054451IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1400280OTHERGROUP PTAN

General Provider Information

NPI Number : 1215183140
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABRAR ALI HUSAIN M.D.
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-797-3888
Provider Business Practice Location Address
First Line : 200 S WACKER DR FL 31
Second Line :
City : CHICAGO
State : IL
Zip : 60606-5877
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-797-3888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2008
Last Update Date : 03/29/2023

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