Healthcare Provider Details

I. General information

NPI: 1366375297
Provider Name (Legal Business Name): MR. SAJAD ABID HUSAIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 LANG AVE NE STE 110
ALBUQUERQUE NM
87109-4475
US

IV. Provider business mailing address

406 WINNEBAGO ST
PARK FOREST IL
60466-1320
US

V. Phone/Fax

Practice location:
  • Phone: 630-664-7428
  • Fax:
Mailing address:
  • Phone: 630-664-7428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: