Provider Demographics
NPI:1689908501
Name:HUSAIN, SARA (MD)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:HUSAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47617 BRITTANY CT
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-3521
Mailing Address - Country:US
Mailing Address - Phone:248-346-3881
Mailing Address - Fax:
Practice Address - Street 1:1225 S LATSON RD STE 200
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-7660
Practice Address - Country:US
Practice Address - Phone:810-494-6800
Practice Address - Fax:517-338-2411
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301093950207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine