Healthcare Provider Details

I. General information

NPI: 1871640599
Provider Name (Legal Business Name): ZAKIR HUSSAIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 WILLOW ST
BERLIN NH
03570-2084
US

IV. Provider business mailing address

3183 ROCHAMBEAU AVE APT. 2F
BRONX NY
10467-3754
US

V. Phone/Fax

Practice location:
  • Phone: 603-752-3669
  • Fax:
Mailing address:
  • Phone: 347-707-3016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number278742
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberLT-2533
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number13772
License Number StateNH
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number01097322A
License Number StateIN
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number278742-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: