Provider Demographics
NPI:1487810594
Name:ALHUSSAINI, AMER I (MD)
Entity type:Individual
Prefix:DR
First Name:AMER
Middle Name:I
Last Name:ALHUSSAINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27240 W SAXONY DR
Mailing Address - Street 2:
Mailing Address - City:CHANNAHON
Mailing Address - State:IL
Mailing Address - Zip Code:60410-1416
Mailing Address - Country:US
Mailing Address - Phone:804-433-8232
Mailing Address - Fax:
Practice Address - Street 1:27240 W SAXONY DR
Practice Address - Street 2:
Practice Address - City:CHANNAHON
Practice Address - State:IL
Practice Address - Zip Code:60410-1416
Practice Address - Country:US
Practice Address - Phone:804-433-8232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116020095207Q00000X
VA0101248054207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06778OtherGROUP PTAN
VAC09633OtherGROUP PTAN