Provider Demographics
NPI:1689847709
Name:HUSSAIN, SYED ATIF (MD)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:ATIF
Last Name:HUSSAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-7037
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1203 LANGHORNE NEWTOWN RD
Practice Address - Street 2:SUITE 320
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1209
Practice Address - Country:US
Practice Address - Phone:214-750-7818
Practice Address - Fax:215-752-0436
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2021-05-14
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Provider Licenses
StateLicense IDTaxonomies
PAMD436928207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30203502OtherKEYSTONE FIRST
PA1023244680003Medicaid
PA9705365OtherAETNA
PA7911855OtherCIGNA PA
PA3717070000OtherKEYSTONE IBC
PA2102017OtherHIGHMARK BLUE CORSS BLUE SHIELD
PAP01193851OtherRAILROAD MEDICARE
PA154964R52Medicare PIN
PA154964ML9Medicare PIN