Provider Demographics
NPI:1407876568
Name:HUSSAINI, ALIYA ESMAIL (MD, MSC)
Entity Type:Individual
Prefix:DR
First Name:ALIYA
Middle Name:ESMAIL
Last Name:HUSSAINI
Suffix:
Gender:F
Credentials:MD, MSC
Other - Prefix:DR
Other - First Name:ALIYA
Other - Middle Name:
Other - Last Name:ESMAIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2909 N 14-35
Mailing Address - Street 2:PEOPLES COMMUNITY CLINIC
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78722-2304
Mailing Address - Country:US
Mailing Address - Phone:512-478-4939
Mailing Address - Fax:
Practice Address - Street 1:3550 MARKET ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-3000
Practice Address - Fax:215-590-1205
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7286208000000X
PAMD426611208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1014869170001Medicaid
PA1014869170001Medicaid