Individual
MAYSA H ABDUL HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 N FAIRBANKS CT UNIT 3202, CHICAGO, IL 60611-5866
(414) 334-1972
(414) 334-1972
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 793-6140
(865) 560-8948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01069723A
IN
207R00000X
Internal Medicine Physician
336097633
IL
207R00000X
Internal Medicine Physician
513-990-20
WI
207R00000X
Internal Medicine Physician
MD2019-1032
NM
208M00000X
Hospitalist Physician
Primary
51399
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004812
—
WI
05
—
201045320
—
IN
Enumeration date
01/23/2008
Last updated
11/18/2021
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