Provider Demographics
NPI:1649428269
Name:HUSSAIN, RAHAT S (PA-C)
Entity type:Individual
Prefix:MRS
First Name:RAHAT
Middle Name:S
Last Name:HUSSAIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:677 SILVER LN
Mailing Address - Street 2:
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06118-1257
Mailing Address - Country:US
Mailing Address - Phone:860-568-7243
Mailing Address - Fax:860-895-8107
Practice Address - Street 1:677 SILVER LN
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06118-1257
Practice Address - Country:US
Practice Address - Phone:860-568-7243
Practice Address - Fax:860-895-8107
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT001215363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical