Healthcare Provider Details

I. General information

NPI: 1952160806
Provider Name (Legal Business Name): NAUSHERWAN HUSSAIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2024
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date: 03/14/2024
Reactivation Date: 05/20/2025

III. Provider practice location address

EAST ALABAMA MEDICAL CENTER 2000 PEPPERELL PARKWAY
OPELIKA AL
36801
US

IV. Provider business mailing address

EAST ALABAMA MEDICAL CENTER 2000 PEPPERELL PARKWAY
OPELIKA AL
36801
US

V. Phone/Fax

Practice location:
  • Phone: 334-528-2903
  • Fax:
Mailing address:
  • Phone: 334-528-2903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: