Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 107187 | MN |
Y | 207L00000X | Anesthesiologist | 52943 | AZ |
N | 207L00000X | Anesthesiologist | BP10036351 | TX |
NPI | 1003164989 |
---|---|
Provider Name | Dr. Ahmar Husain |
First Address | Phoenix, AZ 85004-4527 |
Second Address | Phoenix, AZ 85004-4527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2012 |
Last Update Date | 08/11/2016 |