Basic Information
Provider Information
NPI: 1881116184
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUSSAIN
FirstName: ALIA
MiddleName: AKHTAR
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 935 MARKET ST
Address2:  
City: YUBA CITY
State: CA
PostalCode: 959914217
CountryCode: US
TelephoneNumber: 8663589791
FaxNumber:  
Practice Location
Address1: 334 SAMUEL DR
Address2:  
City: YUBA CITY
State: CA
PostalCode: 959916325
CountryCode: US
TelephoneNumber: 5306749200
FaxNumber: 5306745667
Other Information
ProviderEnumerationDate: 07/09/2017
LastUpdateDate: 09/02/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/02/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X7969NEN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XA169362CAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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