Individual
LAYLA A ABDAL HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4379 RIDGEWOOD CENTER DRIVE, SUITE 102, WOOBRIDGE, VA 22192-8323
(703) 680-7950
(703) 680-7953
Mailing address
4379 RIDGEWOOD CENTER DRIVE, SUITE 102, WOOBRIDGE, VA 22192-8323
(703) 680-7950
(703) 680-7953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101249834
VA
207R00000X
Internal Medicine Physician
2013033379
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801036942
—
MO
Enumeration date
03/03/2009
Last updated
09/10/2019
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