Provider Demographics
NPI:1245343987
Name:HUSSAINI, AZRA H (MD)
Entity type:Individual
Prefix:DR
First Name:AZRA
Middle Name:H
Last Name:HUSSAINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1416
Mailing Address - Street 2:
Mailing Address - City:BROOKLANDVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21022-1416
Mailing Address - Country:US
Mailing Address - Phone:410-497-6927
Mailing Address - Fax:833-989-0960
Practice Address - Street 1:11602 GREENSPRING AVE
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-1410
Practice Address - Country:US
Practice Address - Phone:410-497-6927
Practice Address - Fax:833-989-0960
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD52913207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD52913OtherLICENSE
MDM44595OtherCDS
MDM44595OtherCDS
BH9657365OtherDEA