Provider Demographics
NPI:1003951013
Name:HUSSAIN, YUSRA NAZAR (MD)
Entity type:Individual
Prefix:DR
First Name:YUSRA
Middle Name:NAZAR
Last Name:HUSSAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YUSSRA
Other - Middle Name:NAZAR
Other - Last Name:HUSSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:770 WELCH RD
Mailing Address - Street 2:SUITE # 250
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1511
Mailing Address - Country:US
Mailing Address - Phone:650-328-1676
Mailing Address - Fax:650-445-0911
Practice Address - Street 1:770 WELCH RD
Practice Address - Street 2:SUITE # 250
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1511
Practice Address - Country:US
Practice Address - Phone:650-328-1676
Practice Address - Fax:650-445-0911
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78910207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA118788OtherMEDICARE PTAN
CAI03276Medicare UPIN