Provider Demographics
NPI:1629004890
Name:ABDULHADI, HUSSEIN M (MD)
Entity type:Individual
Prefix:MR
First Name:HUSSEIN
Middle Name:M
Last Name:ABDULHADI
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 1:5965 SEVERIN DR
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942
Mailing Address - Country:US
Mailing Address - Phone:619-326-0326
Mailing Address - Fax:619-326-0101
Practice Address - Street 1:5965 SEVERIN DR
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942
Practice Address - Country:US
Practice Address - Phone:619-326-0326
Practice Address - Fax:619-326-0101
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA61032208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A610320Medicaid
CA00A610320Medicaid
E91687Medicare UPIN