Provider Demographics
NPI:1073833745
Name:HUSSAIN, ARIF BILAL (DO)
Entity Type:Individual
Prefix:DR
First Name:ARIF
Middle Name:BILAL
Last Name:HUSSAIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10685
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46411-0685
Mailing Address - Country:US
Mailing Address - Phone:219-750-9630
Mailing Address - Fax:219-750-9451
Practice Address - Street 1:8687 CONNECTICUT ST
Practice Address - Street 2:STE D
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5541
Practice Address - Country:US
Practice Address - Phone:219-750-9630
Practice Address - Fax:219-750-9451
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02004595A2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201291970Medicaid
IN201291970Medicaid
INM67796002Medicare PIN