Provider Demographics
NPI:1134507437
Name:HUSAIN, ARIF (DO)
Entity Type:Individual
Prefix:
First Name:ARIF
Middle Name:
Last Name:HUSAIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 STONER AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5588
Mailing Address - Country:US
Mailing Address - Phone:410-871-2204
Mailing Address - Fax:
Practice Address - Street 1:193 STONER AVE STE 300
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5588
Practice Address - Country:US
Practice Address - Phone:410-871-2204
Practice Address - Fax:410-871-2207
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2992502084N0400X
MDH951082084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology