Provider Demographics
NPI:1235784752
Name:ZHIAN, HUSSAIN (PA-C)
Entity Type:Individual
Prefix:
First Name:HUSSAIN
Middle Name:
Last Name:ZHIAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1727 BRACKENHURST PL
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-4608
Mailing Address - Country:US
Mailing Address - Phone:763-273-6884
Mailing Address - Fax:
Practice Address - Street 1:280 S STATE ROAD 434 STE 1049
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3859
Practice Address - Country:US
Practice Address - Phone:888-306-9302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9112352363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant