Provider Demographics
NPI:1073545133
Name:HUSSAIN, SAJID (MD)
Entity Type:Individual
Prefix:DR
First Name:SAJID
Middle Name:
Last Name:HUSSAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 BROKEN RDG
Mailing Address - Street 2:
Mailing Address - City:GALESBURG
Mailing Address - State:MI
Mailing Address - Zip Code:49053-9791
Mailing Address - Country:US
Mailing Address - Phone:906-280-1086
Mailing Address - Fax:
Practice Address - Street 1:3630 CAPITAL AVE SW
Practice Address - Street 2:BEHAVIOURAL HEALTH RESOURCE
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015
Practice Address - Country:US
Practice Address - Phone:269-966-1460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010747622084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104261462Medicaid
MIH30335Medicare UPIN
MIN2165008Medicare PIN