Provider Demographics
NPI:1881191880
Name:ALSARRAF, HUSSAM (MD)
Entity Type:Individual
Prefix:
First Name:HUSSAM
Middle Name:
Last Name:ALSARRAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 HILLANDALE RD STE 1040
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2666
Mailing Address - Country:US
Mailing Address - Phone:919-450-8058
Mailing Address - Fax:919-752-5282
Practice Address - Street 1:1911 HILLANDALE RD STE 1040
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2666
Practice Address - Country:US
Practice Address - Phone:919-450-8058
Practice Address - Fax:919-752-5282
Is Sole Proprietor?:No
Enumeration Date:2018-04-07
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022-009582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry