Healthcare Provider Details

I. General information

NPI: 1245291400
Provider Name (Legal Business Name): ZARINA D. HUSSAIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 05/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9715 MEDICAL CENTER DR SUITE 530
ROCKVILLE MD
20850-3320
US

IV. Provider business mailing address

9715 MEDICAL CENTER DR SUITE 530
ROCKVILLE MD
20850-3320
US

V. Phone/Fax

Practice location:
  • Phone: 301-768-4535
  • Fax: 301-545-6137
Mailing address:
  • Phone: 301-768-4535
  • Fax: 301-545-6137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD0054953
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: