Provider Demographics
NPI:1962683722
Name:AOUN, HUSSEIN DEEB (MD)
Entity Type:Individual
Prefix:DR
First Name:HUSSEIN
Middle Name:DEEB
Last Name:AOUN
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 1:210 WOODCREST DR
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-1162
Mailing Address - Country:US
Mailing Address - Phone:313-790-8315
Mailing Address - Fax:
Practice Address - Street 1:210 WOODCREST DR
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-1162
Practice Address - Country:US
Practice Address - Phone:313-790-8315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010819292085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology