Provider Demographics
NPI:1235938168
Name:HUSSEIN, UBAX M (N/A)
Entity type:Individual
Prefix:
First Name:UBAX
Middle Name:M
Last Name:HUSSEIN
Suffix:
Gender:
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 GABRIELLE ELAINE
Mailing Address - Street 2:APT 310
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-8845
Mailing Address - Country:US
Mailing Address - Phone:614-955-1869
Mailing Address - Fax:
Practice Address - Street 1:1190 GABRIELLE ELAINE
Practice Address - Street 2:APT 310
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228
Practice Address - Country:US
Practice Address - Phone:614-627-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant