Provider Demographics
NPI:1043607427
Name:HUSSAINI, SYED KHALED (MD)
Entity Type:Individual
Prefix:MR
First Name:SYED
Middle Name:KHALED
Last Name:HUSSAINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:550 SOUTH JACKSON STREET
Mailing Address - Street 2:3RD FLOOR SUITE A3K00
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202
Mailing Address - Country:US
Mailing Address - Phone:502-852-7945
Mailing Address - Fax:502-852-8980
Practice Address - Street 1:550 SOUTH JACKSON ST.
Practice Address - Street 2:3RD FLOOR SUITE A3K00
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-852-7945
Practice Address - Fax:502-852-8980
Is Sole Proprietor?:No
Enumeration Date:2015-04-23
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program