Provider Demographics
NPI:1558599084
Name:HOOSSAINY, SAUDIQA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAUDIQA
Middle Name:
Last Name:HOOSSAINY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SAUDIQA
Other - Middle Name:
Other - Last Name:HOOSSAINY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:55 WHITCHER ST NE
Mailing Address - Street 2:SUITE 160
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1155
Mailing Address - Country:US
Mailing Address - Phone:770-422-1372
Mailing Address - Fax:770-423-9651
Practice Address - Street 1:5150 STILESBORO RD., SUITE 220
Practice Address - Street 2:WELLSTAR PEDIATRICS AT BROOKSTONE
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152
Practice Address - Country:US
Practice Address - Phone:770-424-8222
Practice Address - Fax:770-424-9962
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003639208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics