Individual
MAHAM HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
1415 LILAC DR N STE 210, GOLDEN VALLEY, MN 55422-4520
(763) 267-8701
Mailing address
1415 LILAC DR N STE 210, GOLDEN VALLEY, MN 55422-4520
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15337
MN
Other
Enumeration date
11/21/2022
Last updated
04/16/2025
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