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Individual

SANAA HUSSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5400 GIBSON SE, ALBUQUERQUE, NM 87108
(505) 262-7000
Mailing address
PO BOX 27829, ALBUQUERQUE, NM 87125
(505) 232-1920
(505) 727-9276

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20050627
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31305261
NM
Enumeration date
07/26/2006
Last updated
07/08/2007
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