Provider Demographics
NPI:1770552127
Name:HUSSEIN, ABDELHAKIM A (MD)
Entity type:Individual
Prefix:
First Name:ABDELHAKIM
Middle Name:A
Last Name:HUSSEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6805 AVERY MUIRFIELD RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7180
Mailing Address - Country:US
Mailing Address - Phone:614-760-0666
Mailing Address - Fax:614-760-0667
Practice Address - Street 1:6805 AVERY MUIRFIELD DR STE 202
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-7185
Practice Address - Country:US
Practice Address - Phone:614-760-0666
Practice Address - Fax:614-760-0667
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350713412084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDA7229OtherRAILROAD MEDICARE
OHP00069316OtherRAILROAD MEDICARE
OH2009454Medicaid
OH2009454Medicaid