Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 4301095684 | MI |
N | 208200000X | Surgeon | 4301095684 | MI |
N | 208600000X | Surgeon | 4301095684 | MI |
NPI | 1609066455 |
---|---|
Provider Name | Dr. Shakir Hussein |
First Address | Detroit, MI 48201-2018 |
Second Address | Detroit, MI 48201-2018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2007 |
Last Update Date | 02/02/2016 |