Healthcare Provider Details

I. General information

NPI: 1306981584
Provider Name (Legal Business Name): ADAM HUSSAIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SYED HUSSAIN

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2513 24TH ST
SAN FRANCISCO CA
94110-3556
US

IV. Provider business mailing address

2001 SACRAMENTO ST APT 9
SAN FRANCISCO CA
94109-3367
US

V. Phone/Fax

Practice location:
  • Phone: 415-642-5968
  • Fax: 415-695-1263
Mailing address:
  • Phone: 415-624-9260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2470A2800X
TaxonomyAssistant Health Information Record Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: