Provider Demographics
NPI:1295899854
Name:HUSNAIN, FOUAD JAMAL-UL (MD)
Entity type:Individual
Prefix:DR
First Name:FOUAD
Middle Name:JAMAL-UL
Last Name:HUSNAIN
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 1:116 N DODGE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53105-1963
Mailing Address - Country:US
Mailing Address - Phone:262-661-4000
Mailing Address - Fax:
Practice Address - Street 1:116 N DODGE ST STE 1
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WI
Practice Address - Zip Code:53105-1963
Practice Address - Country:US
Practice Address - Phone:262-661-4000
Practice Address - Fax:414-672-9941
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI49355207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease