Provider Demographics
NPI:1184103988
Name:HOSSAIN, PRIYA (MD, MPH)
Entity type:Individual
Prefix:
First Name:PRIYA
Middle Name:
Last Name:HOSSAIN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:PRIO
Other - Middle Name:
Other - Last Name:HOSSAIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:4949 CHELSEA GLEN CT
Mailing Address - Street 2:
Mailing Address - City:ANTELOPE
Mailing Address - State:CA
Mailing Address - Zip Code:95843-5966
Mailing Address - Country:US
Mailing Address - Phone:916-579-4786
Mailing Address - Fax:
Practice Address - Street 1:4949 CHELSEA GLEN CT
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-5966
Practice Address - Country:US
Practice Address - Phone:916-579-4786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program