Basic Information
Provider Information
NPI: 1477040962
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALMUSAWI
FirstName: HUSSAIN
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 MEDICAL CENTER DR
Address2:  
City: SPRINGFIELD
State: OH
PostalCode: 455042687
CountryCode: US
TelephoneNumber: 9375231000
FaxNumber:  
Practice Location
Address1: 1978 INDUSTRIAL BLVD
Address2:  
City: HOUMA
State: LA
PostalCode: 70363
CountryCode: US
TelephoneNumber: 9858732425
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/19/2018
LastUpdateDate: 08/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/17/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000X35144665OHY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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