| Huma Khusro Md Pc | |
|
106 Bay St Gadsden AL 35901-5229 | |
| (256) 547-7778 | |
| (256) 547-7709 |
| Full Name | Huma Khusro Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 Bay St, Gadsden, Alabama |
| Authorized Official Name and Position | Huma Khusro (PRESIDENT) |
| Authorized Official Contact | 2565477778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huma Khusro Md Pc 106 Bay St Gadsden AL 35901-5229 Ph: (256) 547-7778 | Huma Khusro Md Pc 106 Bay St Gadsden AL 35901-5229 Ph: (256) 547-7778 |
| NPI Number | 1083819924 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 12/21/2022 |
| Certification Date | 12/21/2022 |
| Medicare PECOS PAC ID | 3971695008 |
|---|---|
| Medicare Enrollment ID | O20070822000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083819924 | NPI | - | NPPES |
| 529909210 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 19471 (Alabama) | Primary |
| Provider Name | Huma Khusro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104929587 PECOS PAC ID: 5698867737 Enrollment ID: I20070822000319 |
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