MEDICARE: DR. MEHREEN ZAHRA HUSAIN M.D.

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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	0101259057	VA

General Provider Information

NPI Number	:	1396066593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEHREEN ZAHRA HUSAIN M.D.

Provider Business Mailing Address
First Line	:	12480 DILLINGHAM SQ
Second Line	:
City	:	LAKE RIDGE
State	:	VA
Zip	:	22192-5258
Country	:	US
Telephone Number	:	703-491-7177
Fax Number	:

Provider Business Practice Location Address
First Line	:	6355 WALKER LN STE 405
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22310-3250
Country	:	US
Telephone Number	:	703-719-6715
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2010
Last Update Date	:	11/05/2021

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