Provider Demographics
NPI:1275524563
Name:QURAID, HOUSSAM ADDIN
Entity Type:Individual
Prefix:
First Name:HOUSSAM
Middle Name:ADDIN
Last Name:QURAID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11034
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-0034
Mailing Address - Country:US
Mailing Address - Phone:757-270-1117
Mailing Address - Fax:
Practice Address - Street 1:100 KINGSLEY LN
Practice Address - Street 2:SUITE 302
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-4604
Practice Address - Country:US
Practice Address - Phone:757-423-2166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-04
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist