Thomas & Husain Medical Assoc Inc | |
48681 Calcutta Smithferry Rd E Liverpool OH 43920-9006 | |
(330) 385-4004 | |
(330) 385-3949 |
Full Name | Thomas & Husain Medical Assoc Inc |
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Speciality | Internal Medicine |
Location | 48681 Calcutta Smithferry Rd, E Liverpool, Ohio |
Authorized Official Name and Position | Mumtaz Jamal Husain (MD PHYSICIAN) |
Authorized Official Contact | 3303854004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thomas & Husain Medical Assoc Inc Po Box 2346 48681 Calcutta Smithferry Rd E Liverpool OH 43920-0346 Ph: (330) 385-4004 | Thomas & Husain Medical Assoc Inc 48681 Calcutta Smithferry Rd E Liverpool OH 43920-9006 Ph: (330) 385-4004 |
NPI Number | 1891711875 |
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Provider Enumeration Date | 07/14/2006 |
Last Update Date | 01/06/2017 |
Medicare PECOS PAC ID | 1254352636 |
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Medicare Enrollment ID | O20051213000558 |
Identifier | Type | State | Issuer |
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1891711875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Shery Thomas |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467478388 PECOS PAC ID: 1052332434 Enrollment ID: I20100318000271 |
Provider Name | Mumtaz Jamal Husain |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295751113 PECOS PAC ID: 7315968799 Enrollment ID: I20100322000498 |