Individual
DR. HUSSEIN A HURAIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11650 BELLEVILLE RD STE 101, VAN BUREN TOWNSHIP, MI 48111-3382
(734) 699-9888
(734) 325-6430
Mailing address
PO BOX 87966, CANTON, MI 48187-0966
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301066286
MI
207L00000X
Anesthesiology Physician
Primary
MD214569
OR
207R00000X
Internal Medicine Physician
4301066286
MI
208VP0014X
Interventional Pain Medicine Physician
4301066286
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P12330001
MEDICARE IND PIN #
MI
01
—
11279065
CAQH
MI
01
—
1790737799
BCBS TYPE 1 (IND) NPI #
MI
01
—
4301066286
STATE LICENSE #
MI
05
—
470874910
—
MI
01
—
5315057615
CDS #
MI
Enumeration date
05/17/2006
Last updated
02/25/2026
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