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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912984808 | NPPES |
| Georgia | MEDICAID | 592585683A | |
| Georgia | MEDICAID | 001373711 |
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