Provider Demographics
NPI:1932432424
Name:HOSAIN, RUBEENA (DMD)
Entity Type:Individual
Prefix:DR
First Name:RUBEENA
Middle Name:
Last Name:HOSAIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19330 N COTTONWOOD GREEN LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4181
Mailing Address - Country:US
Mailing Address - Phone:443-739-0445
Mailing Address - Fax:
Practice Address - Street 1:1200 E JOPPA RD
Practice Address - Street 2:SUITE A
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5810
Practice Address - Country:US
Practice Address - Phone:410-232-1596
Practice Address - Fax:410-321-5961
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13117122300000X, 1223G0001X
TX381671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist