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Contact Information

MUMTAZ HUSAIN, MD
15688 ST RT 170
EAST LIVERPOOL, OH43920
 Phone: 330-385-4004
 Fax: 330-385-3949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MUMTAZ HUSAIN · (Male)

NPI Number 1295751113
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2006
Last updated 04/25/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35-068803
  • OH Medicaid 0188943
Hospital affiliation(s)
  • EAST LIVERPOOL CITY HOSPITAL - (Acute Care)
    425 WEST 5TH STREET
    EAST LIVERPOOL, OH 43920
  • MERCY MEDICAL CENTER - (Acute Care)
    1320 MERCY DRIVE NW
    CANTON, OH 44708
  • TRINITY MEDICAL CTR EAST&TRINITY MEDICAL CTR WEST - (Acute Care)
    380 SUMMIT AVENUE
    STEUBENVILLE, OH 43952
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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