Provider Demographics
NPI:1538356696
Name:MOHAMED AND REHANA HUSSAIN MD, PA
Entity type:Organization
Organization Name:MOHAMED AND REHANA HUSSAIN MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REHANA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-943-4443
Mailing Address - Street 1:10100 QUINCE APPLE CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3871
Mailing Address - Country:US
Mailing Address - Phone:301-893-0666
Mailing Address - Fax:301-934-9321
Practice Address - Street 1:7 POST OFFICE RD STE A
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2744
Practice Address - Country:US
Practice Address - Phone:301-893-0666
Practice Address - Fax:301-934-9321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD43557103T00000X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG14008Medicare UPIN
MD166MMedicare PIN
DC796430Medicare PIN
MD796430Medicare PIN