Provider Demographics
NPI:1871157495
Name:HUSSAIN, MAHWISH (MD)
Entity type:Individual
Prefix:
First Name:MAHWISH
Middle Name:
Last Name:HUSSAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 ARLINGTON BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3018
Mailing Address - Country:US
Mailing Address - Phone:703-531-2244
Mailing Address - Fax:703-207-7863
Practice Address - Street 1:6565 ARLINGTON BLVD STE 500
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3018
Practice Address - Country:US
Practice Address - Phone:703-531-2244
Practice Address - Fax:703-207-7863
Is Sole Proprietor?:No
Enumeration Date:2019-04-29
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101275217207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program