Individual
DR. FARABI M. HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N. PEPPER AVE., SURGERY - MOB 308, COLTON, CA 92324
(909) 580-3353
(909) 580-1363
Mailing address
PO BOX 670, REDLANDS, CA 92373-0000
(909) 747-0371
(909) 580-1363
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A60613
CA
208600000X
Surgery Physician
Primary
A606130
CA
2086X0206X
Surgical Oncology Physician
A606130
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A606130C
—
CA
05
—
00A606131
—
CA
Enumeration date
06/08/2006
Last updated
07/19/2018
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