Provider Demographics
NPI:1265490023
Name:HUSAIN, NAVEEN AGHA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVEEN
Middle Name:AGHA
Last Name:HUSAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 PLEASANT ST
Mailing Address - Street 2:STE 202
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1414
Mailing Address - Country:US
Mailing Address - Phone:515-243-1580
Mailing Address - Fax:515-243-1442
Practice Address - Street 1:1212 PLEASANT ST
Practice Address - Street 2:STE 202
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1414
Practice Address - Country:US
Practice Address - Phone:515-243-1580
Practice Address - Fax:515-243-1442
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA31760207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIA0111OtherUHC DEERE
IA503341OtherIA HEALTH
IA7585OtherMIDLANDS CHOICE
IA0041798Medicaid
IA0893990001OtherDMERC
IA1150227Medicaid
IAG46589Medicare UPIN
IA0893990001OtherDMERC
IA1150227Medicaid