Provider Demographics
NPI:1649511452
Name:LAYLA ALI ABDAL HUSSAIN, MD
Entity type:Organization
Organization Name:LAYLA ALI ABDAL HUSSAIN, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LAYLA
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:ABDAL HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-441-4400
Mailing Address - Street 1:6201 GREENBELT RD.
Mailing Address - Street 2:SUITE M16
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740
Mailing Address - Country:US
Mailing Address - Phone:301-441-4400
Mailing Address - Fax:301-441-3008
Practice Address - Street 1:6201 GREENBELT RD.
Practice Address - Street 2:SUITE M16
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740
Practice Address - Country:US
Practice Address - Phone:301-441-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MED-PED HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0072716332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site