Healthcare Provider Details

I. General information

NPI: 1841837788
Provider Name (Legal Business Name): ARIF HUSSAIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2019
Last Update Date: 12/10/2019
Certification Date: 12/10/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3243 E MURDOCK ST
WICHITA KS
67208-3052
US

IV. Provider business mailing address

5808 W 110TH ST
OVERLAND PARK KS
66211-2504
US

V. Phone/Fax

Practice location:
  • Phone: 316-500-8900
  • Fax:
Mailing address:
  • Phone: 913-696-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number04-42771
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: