Al Husein, Iyad

Al Husein, Iyad is an individual health care provider with primary practice located at 301 Osigian Blvd , Warner Robins GA 31088-8953. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Al Husein, Iyad can be contacted via phone (478) 971-2130.

Contact Information

Primary practice address
301 Osigian Blvd Warner Robins GA 31088-8953
Phone: (478) 971-2130
Fax: (478) 971-2132
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 037371 Connecticut
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 055080 Georgia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 037371 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 055080 Georgia

Profile Details

NPI number 1912984808
LBN Legal business name Al Husein, Iyad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Dec 6th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912984808 NPPES
Georgia MEDICAID 592585683A
Georgia MEDICAID 001373711

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