Provider Demographics
NPI:1497071740
Name:JNAID, HUSSAM (MD)
Entity Type:Individual
Prefix:DR
First Name:HUSSAM
Middle Name:
Last Name:JNAID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 9
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2384
Mailing Address - Country:US
Mailing Address - Phone:318-388-6050
Mailing Address - Fax:318-998-3022
Practice Address - Street 1:3510 MEDICAL PARK DR
Practice Address - Street 2:SUITE 9
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-2384
Practice Address - Country:US
Practice Address - Phone:318-388-6050
Practice Address - Fax:318-998-3022
Is Sole Proprietor?:No
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.203628207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine