Provider Demographics
NPI:1013448638
Name:HUSSAIN, QUDSIA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:QUDSIA
Middle Name:
Last Name:HUSSAIN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 SAINT MARKS AVE
Mailing Address - Street 2:APT 9J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-7451
Mailing Address - Country:US
Mailing Address - Phone:631-416-9827
Mailing Address - Fax:
Practice Address - Street 1:2101 MEDICAL PARK DR STE 211
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4053
Practice Address - Country:US
Practice Address - Phone:301-899-7713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0094832207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism