Provider Demographics
NPI:1902933641
Name:HUSAINI, SAMINA S (MD)
Entity Type:Individual
Prefix:
First Name:SAMINA
Middle Name:S
Last Name:HUSAINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:763 ALTOS OAKS DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-5400
Mailing Address - Country:US
Mailing Address - Phone:650-948-6681
Mailing Address - Fax:650-948-0761
Practice Address - Street 1:763 ALTOS OAKS DR
Practice Address - Street 2:SUITE 4
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-5400
Practice Address - Country:US
Practice Address - Phone:650-948-6681
Practice Address - Fax:650-948-0761
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2009-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA48967208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics