| Doctor Name: | SAMIRA HUSSAIN |
| NPI Number: | 1194135400 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | |
| Business Practice Address: | 1906 Belleview Ave Carilion Clinic Roanoke Memorial Hospital Roanoke, VA - 24014 |
| Business Phone Number: | 5403817000 |
| Business Fax Number: | |
| Mailing Address: | 1354 S Finley Rd Apt 3t, LOMBARD |
| State: | IL |
| Postal Code: | 601484315 |
| Phone Number: | 8473382548 |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2014 |
| NPI Last Update Date: | 05/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |