Healthcare Provider Details

I. General information

NPI: 1427726413
Provider Name (Legal Business Name): AUN HUSSAIN PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 S LINDEN RD # 3A
FLINT MI
48532-3459
US

IV. Provider business mailing address

416 AVON ST APT 3
FLINT MI
48503-6107
US

V. Phone/Fax

Practice location:
  • Phone: 810-214-4046
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number5601010740
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110009335
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: