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NPI Code Detail

MEDICARE: ROSHAN HUSSAIN

MEDICARE: ROSHAN HUSSAIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P2201XAmbulatory Care Pharmacist051291085IL

General Provider Information

NPI Number : 1043143415
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSHAN HUSSAIN
Provider Business Mailing Address
First Line : 4100 40TH ST N
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-4805
Country : US
Telephone Number : 720-243-9792
Fax Number : 720-243-9792
Provider Business Practice Location Address
First Line : 4100 40TH ST N
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-4805
Country : US
Telephone Number : 720-243-9792
Fax Number : 720-243-9792
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ ROSHAN HUSSAIN ” Practice Location

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