Provider Demographics
NPI:1184825465
Name:HUSSAIN, JUHAINA NIHAD (MD)
Entity Type:Individual
Prefix:DR
First Name:JUHAINA
Middle Name:NIHAD
Last Name:HUSSAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:HUSSAIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:322 BARTLETT AVE.
Mailing Address - Street 2:P.O.BOX 413
Mailing Address - City:HAINES
Mailing Address - State:AK
Mailing Address - Zip Code:99827-0413
Mailing Address - Country:US
Mailing Address - Phone:907-766-6300
Mailing Address - Fax:907-766-2675
Practice Address - Street 1:131 1ST AVE SOUTH
Practice Address - Street 2:
Practice Address - City:HAINES
Practice Address - State:AK
Practice Address - Zip Code:99827-1549
Practice Address - Country:US
Practice Address - Phone:907-766-6300
Practice Address - Fax:907-766-2675
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK5034207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine