Hussain, Mariyam A
Hussain, Mariyam A is an individual health care provider with primary practice located at 2136 N Main St , Fuquay Varina NC 27526-9231. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Hussain, Mariyam A can be contacted via phone (919) 567-1607.Contact Information
Primary practice address
2136 N Main St
Fuquay Varina NC 27526-9231
Phone: (919) 567-1607
Fax: (919) 567-1622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200101219 | North Carolina |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | 200101219 | North Carolina |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 200101219 | North Carolina |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 200101219 | North Carolina |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 200101219 | North Carolina |
Profile Details
| NPI number | 1952367799 |
|---|---|
| LBN Legal business name | Hussain, Mariyam A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Jul 2nd, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952367799 | NPPES |
| North Carolina | MEDICAID | 891291W | |
| North Carolina | Other | 200101219 |
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