Basic Information
Provider Information
NPI: 1801062062
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUSSAIN
FirstName: SAAD
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1889
Address2:  
City: MUNCIE
State: IN
PostalCode: 47308
CountryCode: US
TelephoneNumber: 7652840493
FaxNumber:  
Practice Location
Address1: 7601 PRESTON RD
Address2:  
City: PLANO
State: TX
PostalCode: 750243214
CountryCode: US
TelephoneNumber: 2144566393
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/07/2008
LastUpdateDate: 01/28/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/28/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP3000X56866WIN Allopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
207L00000XP6645TXY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
180106206205WI MEDICAID


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