Provider Demographics
NPI:1700946597
Name:HUSSAINI, MOHAMMED AZHAR (BS)
Entity Type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:AZHAR
Last Name:HUSSAINI
Suffix:
Gender:M
Credentials:BS
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Mailing Address - Street 1:17 W 434 ROOSEVELT RD
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148
Mailing Address - Country:US
Mailing Address - Phone:815-254-1448
Mailing Address - Fax:
Practice Address - Street 1:17W434 ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3510
Practice Address - Country:US
Practice Address - Phone:815-254-1448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography