Provider Demographics
NPI:1588800080
Name:GILANI, HUSSAIN (MD)
Entity Type:Individual
Prefix:
First Name:HUSSAIN
Middle Name:
Last Name:GILANI
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 1:3300 WEBSTER ST STE 804
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3123
Mailing Address - Country:US
Mailing Address - Phone:512-289-3922
Mailing Address - Fax:510-451-0410
Practice Address - Street 1:3300 WEBSTER ST STE 804
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3123
Practice Address - Country:US
Practice Address - Phone:512-289-3922
Practice Address - Fax:510-451-0410
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX390200000X
CAA120187207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program