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NPI Code Detail

MEDICARE: DR. FADI AMIN HUSSEIN M.D.

MEDICARE: DR. FADI AMIN 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
1174400000XSpecialist5670320WI
2207RN0300XNephrology Physician56703WI

General Provider Information

NPI Number : 1902004096
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FADI AMIN HUSSEIN M.D.
Provider Business Mailing Address
First Line : 335 MAHN COURT
Second Line :
City : MILWAUKEE
State : WI
Zip : 53154
Country : US
Telephone Number : 414-762-2020
Fax Number : 414-762-2024
Provider Business Practice Location Address
First Line : 3120 S 27TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-4338
Country : US
Telephone Number : 414-672-8282
Fax Number : 414-672-8282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2007
Last Update Date : 01/11/2022

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