Provider Demographics
NPI:1629083902
Name:HUSSAIN, SABRINA JABEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:JABEEN
Last Name:HUSSAIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:220 STANDIFORD AVE
Mailing Address - Street 2:STE F
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-1159
Mailing Address - Country:US
Mailing Address - Phone:209-579-5628
Mailing Address - Fax:209-579-5637
Practice Address - Street 1:1209 WOODROW AVE STE B10
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-1273
Practice Address - Country:US
Practice Address - Phone:209-579-5628
Practice Address - Fax:209-579-5637
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA93539207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A935390Medicaid
CAH42579Medicare UPIN
CA00A935390Medicaid