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NPI Code Detail

MEDICARE: AMMARAH HUSSAIN M.D.

MEDICARE: AMMARAH HUSSAIN 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
1390200000XStudent in an Organized Health Care Education/Training ProgramMT211688PA
2207RR0500XRheumatology PhysicianMT211688PA
3207RR0500XRheumatology PhysicianMD475018PA

General Provider Information

NPI Number : 1912355728
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMMARAH HUSSAIN M.D.
Provider Business Mailing Address
First Line : 2901 JOLLY RD STE 200
Second Line :
City : PLYMOUTH MEETING
State : PA
Zip : 19462-2324
Country : US
Telephone Number :
Fax Number : 610-272-8221
Provider Business Practice Location Address
First Line : 2901 JOLLY RD
Second Line :
City : PLYMOUTH MEETING
State : PA
Zip : 19462-2324
Country : US
Telephone Number : 610-272-8221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2016
Last Update Date : 04/21/2026

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