Provider Demographics
NPI:1255689758
Name:HUSAIN, FATIMA ZEHRA (MD)
Entity Type:Individual
Prefix:DR
First Name:FATIMA
Middle Name:ZEHRA
Last Name:HUSAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:506 6TH STREET
Mailing Address - Street 2:DEPARTMENT OF SURGERY
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215
Mailing Address - Country:US
Mailing Address - Phone:718-780-5990
Mailing Address - Fax:718-780-7186
Practice Address - Street 1:506 6TH STREET
Practice Address - Street 2:DEPARTMENT OF SURGERY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215
Practice Address - Country:US
Practice Address - Phone:718-780-5990
Practice Address - Fax:718-780-7186
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2019-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY272852208800000X
CAA142089208800000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY474172686OtherUROLOGY