Provider Demographics
NPI:1114503968
Name:AMEN, HUSSEN (MD)
Entity type:Individual
Prefix:
First Name:HUSSEN
Middle Name:
Last Name:AMEN
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 1:36016 FIVE MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1918
Mailing Address - Country:US
Mailing Address - Phone:734-863-0200
Mailing Address - Fax:734-863-0201
Practice Address - Street 1:36016 FIVE MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1918
Practice Address - Country:US
Practice Address - Phone:734-863-0200
Practice Address - Fax:734-863-0201
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-22
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301511285207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine