Provider Demographics
NPI:1891711875
Name:THOMAS & HUSAIN MEDICAL ASSOC INC
Entity Type:Organization
Organization Name:THOMAS & HUSAIN MEDICAL ASSOC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MUMTAZ
Authorized Official - Middle Name:JAMAL
Authorized Official - Last Name:HUSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-385-4004
Mailing Address - Street 1:PO BOX 2346
Mailing Address - Street 2:48681 CALCUTTA SMITHFERRY RD
Mailing Address - City:E LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-0346
Mailing Address - Country:US
Mailing Address - Phone:330-385-4004
Mailing Address - Fax:330-385-3949
Practice Address - Street 1:48681 CALCUTTA SMITHFERRY RD
Practice Address - Street 2:
Practice Address - City:E LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-9006
Practice Address - Country:US
Practice Address - Phone:330-385-4004
Practice Address - Fax:330-385-3949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty