Provider Demographics
NPI:1669585618
Name:HUSAIN, ABID (MD)
Entity type:Individual
Prefix:DR
First Name:ABID
Middle Name:
Last Name:HUSAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1314 PARK AVE SUITE 9
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-3253
Mailing Address - Country:US
Mailing Address - Phone:908-222-8970
Mailing Address - Fax:908-222-8762
Practice Address - Street 1:101 W HAMPDEN AVE UNIT B
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110
Practice Address - Country:US
Practice Address - Phone:303-789-1400
Practice Address - Fax:303-789-1401
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV11051207RC0000X
NJ25MA07337100207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100504547Medicaid
CO1669585618Medicaid
NJ359386YXV7Medicare PIN
NV102086Medicare PIN