NPI Code Details Logo

NPI 1336705524

NPI 1336705524 : NADEEN HUSSAIN MD : BRADFORD, CT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1336705524
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    NADEEN HUSSAIN MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/14/2019
-----------------------------------------------------
    Last Update Date     |    11/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1224 MAIN ST 
-----------------------------------------------------
    City                 |    BRADFORD
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06460
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    203-481-0315
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    687 MAIN ST # NA 
-----------------------------------------------------
    City                 |    BRANFORD
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06405-3612
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    203-481-0315
-----------------------------------------------------
    Fax                  |    203-481-6788
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    82384
-----------------------------------------------------
    License Number State |    CT
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.