Individual
KASHIF HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 MEETING HOUSE LN STE 302, SOUTHAMPTON, NY 11968-7000
(631) 283-8008
(631) 283-8870
Mailing address
325 MEETING HOUSE LN STE 302, SOUTHAMPTON, NY 11968-7000
(631) 283-8008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
289120
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
24577
WV
207RP1001X
Pulmonary Disease Physician
Primary
13376
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209000801
—
MO
05
—
30207189
—
NH
Enumeration date
02/09/2007
Last updated
04/07/2022
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