Provider Demographics
NPI:1821973967
Name:HUSSEIN, ISADIN AHMED (DR)
Entity type:Individual
Prefix:
First Name:ISADIN
Middle Name:AHMED
Last Name:HUSSEIN
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 TWELVE OAKS CENTER DR STE 648A
Mailing Address - Street 2:
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-4544
Mailing Address - Country:US
Mailing Address - Phone:651-208-9451
Mailing Address - Fax:
Practice Address - Street 1:600 TWELVE OAKS CENTER DR STE 648A
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-4544
Practice Address - Country:US
Practice Address - Phone:651-208-9451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst