Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 02004595A | IN |
NPI | 1073833745 |
---|---|
Provider Name | Dr. Arif Bilal Hussain |
First Address | Merrillville, IN 46411-0685 |
Second Address | Merrillville, IN 46410-5541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2010 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201291970 | (05) | IN |