Provider Demographics
NPI:1588894489
Name:HUSSAIN, ALIA ZAINAB (MD)
Entity type:Individual
Prefix:DR
First Name:ALIA
Middle Name:ZAINAB
Last Name:HUSSAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 HIGHWAY 49 S
Mailing Address - Street 2:SUITE 1
Mailing Address - City:RICHLAND
Mailing Address - State:MS
Mailing Address - Zip Code:39218-9425
Mailing Address - Country:US
Mailing Address - Phone:601-326-8700
Mailing Address - Fax:
Practice Address - Street 1:1201 HIGHWAY 49 S
Practice Address - Street 2:SUITE 1
Practice Address - City:RICHLAND
Practice Address - State:MS
Practice Address - Zip Code:39218-9425
Practice Address - Country:US
Practice Address - Phone:601-326-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-26
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS22740208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics