1922665793 NPI number — HYDER HUSAIN D.O

Table of content: HYDER HUSAIN D.O (NPI 1922665793)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922665793 NPI number — HYDER HUSAIN D.O

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUSAIN
Provider First Name:
HYDER
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.O
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922665793
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9131 PISCATAWAY ROAD
Provider Second Line Business Mailing Address:
SUITE 310
Provider Business Mailing Address City Name:
CLINTON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20735
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-345-5600
Provider Business Mailing Address Fax Number:
301-345-7715

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7300 HANOVER DRIVE SUITE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENBELT
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20770-2247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-345-5600
Provider Business Practice Location Address Fax Number:
301-345-7715
Provider Enumeration Date:
05/28/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X , with the licence number:  H0099027 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)