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NPI Code Detail

MEDICARE: DR. IRSHAD HUSSAIN MD

MEDICARE: DR. IRSHAD HUSSAIN MD
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 Physician15021MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922047729
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRSHAD HUSSAIN MD
Provider Business Mailing Address
First Line : 15921 BOUNDARY DR
Second Line : P O BOX 92
City : ASHLAND
State : MS
Zip : 38603-7740
Country : US
Telephone Number : 662-224-8951
Fax Number : 662-224-6459
Provider Business Practice Location Address
First Line : 15921 BOUNDARY DR
Second Line :
City : ASHLAND
State : MS
Zip : 38603-7740
Country : US
Telephone Number : 662-224-8951
Fax Number : 662-224-6459
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 01/08/2017

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Directions to “ DR. IRSHAD HUSSAIN MD” Practice Location

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