Provider Demographics
NPI:1659909216
Name:BAADANI, HUSSEIN ALI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HUSSEIN
Middle Name:ALI
Last Name:BAADANI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4956 JONATHON ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3509
Mailing Address - Country:US
Mailing Address - Phone:313-720-3959
Mailing Address - Fax:
Practice Address - Street 1:3040 E 7 MILE RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234-1662
Practice Address - Country:US
Practice Address - Phone:313-914-3736
Practice Address - Fax:313-914-5105
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302412024183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist