Provider Demographics
NPI:1972119113
Name:REZAHI, ABDUL HUSSAIN (MD)
Entity type:Individual
Prefix:DR
First Name:ABDUL
Middle Name:HUSSAIN
Last Name:REZAHI
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 1:587 E STATE ROAD 434 UNIT 3037
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5256
Mailing Address - Country:US
Mailing Address - Phone:352-935-1136
Mailing Address - Fax:916-265-9764
Practice Address - Street 1:587 E STATE ROAD 434 UNIT 3037
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5256
Practice Address - Country:US
Practice Address - Phone:352-935-1136
Practice Address - Fax:916-265-9764
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-22
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN1323208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice