Healthcare Provider Details
I. General information
NPI: 1508240110
Provider Name (Legal Business Name): SEHBA HUSAIN-KRAUTTER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/13/2015
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1901 N DUPONT HWY
NEW CASTLE DE
19720-1100
US
IV. Provider business mailing address
110 E 97TH ST APT 5
NEW YORK NY
10029-7226
US
V. Phone/Fax
- Phone: 302-255-2700
- Fax:
- Phone: 917-753-2410
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 297794 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | C7-0005967 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: