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General NPI Number Information
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NPI Number | 1396783452
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Entity Type | Individual
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Provider Name | SHAHID HUSSAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | SINAI GRACE HOSPITAL - ARDMORE CLINIC 14230 WEST MCNICHOLS
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City | DETROIT
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State | MI
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Zip | 48235
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Country | US
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Telephone | 313-966-1199
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Fax | 313-966-4916
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Provider Business Mailing Address
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Address Line | 1560 E MAPLE RD SUITE 400-CREDENTIALING
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City | TROY
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State | MI
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Zip | 48083-1138
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Country | US
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Telephone | 248-581-5971
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Fax | 248-581-5640
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301063190
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License Number State | MI
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