Provider Demographics
NPI:1124087598
Name:HUSAINI, SYED N (MD)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:N
Last Name:HUSAINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 PENN AVE
Mailing Address - Street 2:STE 2
Mailing Address - City:TURTLE CREEK
Mailing Address - State:PA
Mailing Address - Zip Code:15145-2106
Mailing Address - Country:US
Mailing Address - Phone:412-823-7396
Mailing Address - Fax:412-823-0611
Practice Address - Street 1:501 PENN AVE
Practice Address - Street 2:STE 2
Practice Address - City:TURTLE CREEK
Practice Address - State:PA
Practice Address - Zip Code:15145-2106
Practice Address - Country:US
Practice Address - Phone:412-823-7396
Practice Address - Fax:412-823-0611
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028297E207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009048130Medicaid
OH2396232Medicaid
PA0009048130011Medicaid
PA0009048130014Medicaid
WV3810019282Medicaid
OH2396232Medicaid
PA430635DXCMedicare PIN
PAC34009Medicare UPIN
PAP00872633Medicare PIN
PA060048994Medicare PIN
WV3810019282Medicaid