Provider Demographics
NPI:1427363316
Name:HUSSEIN, MALEK (MD)
Entity Type:Individual
Prefix:
First Name:MALEK
Middle Name:
Last Name:HUSSEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2253 GREEN HEDGES WAY
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6969
Mailing Address - Country:US
Mailing Address - Phone:813-771-6851
Mailing Address - Fax:813-771-6875
Practice Address - Street 1:2253 GREEN HEDGES WAY
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6969
Practice Address - Country:US
Practice Address - Phone:813-771-6851
Practice Address - Fax:813-771-6875
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME129091207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine