| Hussam Kujok Md Inc | |
|
3609 Mission Ave Suite A Carmichael CA 95608-2955 | |
| (916) 971-9000 | |
| (916) 971-9010 |
| Full Name | Hussam Kujok Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3609 Mission Ave, Carmichael, California |
| Authorized Official Name and Position | Hussam Kujok (PRESIDENT) |
| Authorized Official Contact | 9169719000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hussam Kujok Md Inc 3609 Mission Ave Suite A Carmichael CA 95608-2955 Ph: (916) 971-9000 | Hussam Kujok Md Inc 3609 Mission Ave Suite A Carmichael CA 95608-2955 Ph: (916) 971-9000 |
| NPI Number | 1225321292 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 03/14/2016 |
| Medicare PECOS PAC ID | 8426228404 |
|---|---|
| Medicare Enrollment ID | O20110830000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225321292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A92291 (California) | Primary |
| Provider Name | Hussam Kujok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013081611 PECOS PAC ID: 1557466000 Enrollment ID: I20070412000192 |
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