Healthcare Provider Details

I. General information

NPI: 1366139263
Provider Name (Legal Business Name): ARISH HUSSAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date: 11/22/2023
Reactivation Date: 08/18/2026

III. Provider practice location address

3800 RESERVOIR RD MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL, CCC BUILDING ST
WASHINGTON DC
20007
US

IV. Provider business mailing address

3800 RESERVOIR RD MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL
WASHINGTON DC
20007
US

V. Phone/Fax

Practice location:
  • Phone: 718-918-5000
  • Fax:
Mailing address:
  • Phone: 718-918-5000
  • 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: