Provider Demographics
NPI:1306948294
Name:HUSSAIN, SAYED A (MD)
Entity type:Individual
Prefix:MR
First Name:SAYED
Middle Name:A
Last Name:HUSSAIN
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 1:729 SUNRISE AVE
Mailing Address - Street 2:#604
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4542
Mailing Address - Country:US
Mailing Address - Phone:916-782-5100
Mailing Address - Fax:916-784-7100
Practice Address - Street 1:729 SUNRISE AVE
Practice Address - Street 2:#604
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4565
Practice Address - Country:US
Practice Address - Phone:916-782-5100
Practice Address - Fax:916-784-7100
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA30580207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA110182313OtherTMR
CA00A305800Medicaid
CA00A305800Medicare ID - Type Unspecified
CA110182313OtherTMR