Individual provider · NPI-1

Dr. Omar Husseini, M.D.

Internal Medicine, Cardiovascular Disease · Munster, IN

NPI number1467740894
StatusActive
Last updated in NPPESAug 8, 2018

Details

NPI
1467740894
Entity type
Individual (NPI-1)
Name
Dr. Omar Husseini
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 19, 2011
Last updated
Aug 8, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease01079973AINYes
207R00000X Internal Medicine036134453IL
208M00000X Hospitalist036134453IL

Practice location

9104 Columbia Ave
Munster, IN 46321

Phone 219-836-4773

Mailing address

9104 Columbia Ave
Munster, IN 46321-2907

Phone 219-836-4773

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