Provider Demographics
NPI:1740224195
Name:HUSSAINI, AKBAR ALY (MD)
Entity type:Individual
Prefix:DR
First Name:AKBAR
Middle Name:ALY
Last Name:HUSSAINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:200 JOHN W HOOVER PKWY
Mailing Address - Street 2:BLDG II, SUITE B-C
Mailing Address - City:BURNET
Mailing Address - State:TX
Mailing Address - Zip Code:78611-4563
Mailing Address - Country:US
Mailing Address - Phone:512-715-3114
Mailing Address - Fax:512-715-3116
Practice Address - Street 1:200 JOHN W HOOVER PKWY
Practice Address - Street 2:BLDG II, SUITE B-C
Practice Address - City:BURNET
Practice Address - State:TX
Practice Address - Zip Code:78611-4563
Practice Address - Country:US
Practice Address - Phone:512-715-3114
Practice Address - Fax:512-715-3116
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN1350207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX207487401Medicaid
TX207487401Medicaid
TX8L13569Medicare PIN