Provider Demographics
NPI:1669154845
Name:HUSSEIN, SADIK II
Entity type:Individual
Prefix:DR
First Name:SADIK
Middle Name:
Last Name:HUSSEIN
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5906 MEADOWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-4126
Mailing Address - Country:US
Mailing Address - Phone:614-316-6055
Mailing Address - Fax:
Practice Address - Street 1:5906 MEADOWOOD DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-4126
Practice Address - Country:US
Practice Address - Phone:614-316-6055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & AgingGroup - Multi-Specialty