Provider Demographics
NPI:1285776971
Name:HUSSAIN, DIANA A (MD)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:A
Last Name:HUSSAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:
Other - Last Name:KURMEN FIGUEROA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7345 W SAND LAKE RD STE 301
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5281
Mailing Address - Country:US
Mailing Address - Phone:321-204-8237
Mailing Address - Fax:833-957-2257
Practice Address - Street 1:7345 W SAND LAKE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5284
Practice Address - Country:US
Practice Address - Phone:321-204-8237
Practice Address - Fax:833-957-2257
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME109774208100000X, 208100000X
KY42859208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810017297Medicaid
OH3035254Medicaid
KY7100109520Medicaid
WV3810017297Medicaid
MN250000765Medicare PIN
KY01251015Medicare PIN