Provider Demographics
NPI:1821849662
Name:HUSSAINI, SAYED AHMAD HUSSAIN
Entity Type:Individual
Prefix:
First Name:SAYED AHMAD
Middle Name:HUSSAIN
Last Name:HUSSAINI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12011 ROUTE 50 STE 501
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-3315
Mailing Address - Country:US
Mailing Address - Phone:703-259-7027
Mailing Address - Fax:703-591-0005
Practice Address - Street 1:12011 ROUTE 50 STE 501
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-3315
Practice Address - Country:US
Practice Address - Phone:703-259-7027
Practice Address - Fax:703-591-0005
Is Sole Proprietor?:No
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0136000895246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant