| Doctor Name: | MARYAM HUSAIN |
| NPI Number: | 1023434065 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHYSICIAN ASSISTANT |
| License Number: | 25MP00326500 |
| Business Practice Address: | 370 N Wiget Ln #125 Walnut Creek, CA - 945982488 |
| Business Phone Number: | 9259329389 |
| Business Fax Number: | |
| Mailing Address: | 370 N Wiget Ln, #125 WALNUT CREEK |
| State: | CA |
| Postal Code: | 945982488 |
| Phone Number: | 9259329389 |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2014 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 25MP00326500 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |