Provider Demographics
NPI:1174121784
Name:ALHUSSAIN, EMAN MOHAMMED (MD)
Entity type:Individual
Prefix:
First Name:EMAN
Middle Name:MOHAMMED
Last Name:ALHUSSAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2713 S 74TH ST STE 204
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-5171
Mailing Address - Country:US
Mailing Address - Phone:479-274-3600
Mailing Address - Fax:479-274-3619
Practice Address - Street 1:2713 S 74TH ST STE 204
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-5171
Practice Address - Country:US
Practice Address - Phone:479-274-3600
Practice Address - Fax:479-274-3619
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-19269207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism