Organization Active NPI

Munawar Hussain MD PC

  • Obstetrics & Gynecology Physician
  • East Moline, IL
National Provider Identifier
1396909271
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
060.003587 Issued in IL
Legal business name
MUNAWAR HUSSAIN MD PC
Practice address
4500 Kennedy Dr
East Moline, IL 61244-4248
Phone
(309) 796-2777
Fax
(309) 796-2785
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Munawar Hussain, M.D.
Title
President
Phone
(309) 796-2777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 060.003587 IL Primary

Addresses

Primary practice location

4500 Kennedy Dr
East Moline, IL 61244-4248

Mailing address

4500 Kennedy Dr
East Moline, IL 61244-4248
Phone (309) 796-2777

Other identifiers 1

IdentifierTypeStateIssuer
036061067MedicaidIL

National Provider Directory

National Provider Directory

Locations

4500 Kennedy Dr
East Moline, IL 61244
Phone (309) 752-1410

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1396909271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 KENNEDY DR",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444248",
            "telephone_number": "309-796-2777",
            "fax_number": "309-796-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 KENNEDY DR",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444248",
            "telephone_number": "309-796-2777",
            "fax_number": "309-796-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNAWAR HUSSAIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "MUNAWAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-796-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "060.003587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061067",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.