Doctor Name: | DR. MOHAMMAD I HUSSAIN |
NPI Number: | 1003883265 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01030793 |
Business Practice Address: | 801 St Marys Dr Suite 203 E Evansville, IN - 47714 |
Business Phone Number: | 8124798566 |
Business Fax Number: | |
Mailing Address: | 801 St Marys Dr, Suite 203 E EVANSVILLE |
State: | IN |
Postal Code: | 47714 |
Phone Number: | 8124798566 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 09/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080P0207X |
License Number: | 01030793 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Pediatric Hematology-Oncology |
Taxonomy Definition: | A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |