Husain, Kishwar

Husain, Kishwar is an sole proprietor health care provider with primary practice located at 300 Health Park Blvd Suite 4000, St Augustine FL 32086-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Husain, Kishwar can be contacted via phone (904) 824-8666.

Contact Information

Primary practice address
300 Health Park Blvd Suite 4000 St Augustine FL 32086-3707
Fax: (904) 824-8933
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME68363 Florida

Profile Details

NPI number 1912000696
LBN Legal business name Husain, Kishwar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated May 1st, 2014 - about 10 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 1912000696 NPPES
Florida Other P00290670 RAILROAD MEDICARE
Florida MEDICAID 378472000 RAILROAD MEDICARE

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