MEDICARE: MIAMI COUNTY UROLOGISTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	35058894	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CA2248	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366442857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI COUNTY UROLOGISTS INC

Provider Business Mailing Address
First Line	:	3130 N DIXIE HWY
Second Line	:	STE. 205
City	:	TROY
State	:	OH
Zip	:	45373-1337
Country	:	US
Telephone Number	:	937-335-0061
Fax Number	:	937-339-9336

Provider Business Practice Location Address
First Line	:	3130 N DIXIE HWY
Second Line	:	STE. 205
City	:	TROY
State	:	OH
Zip	:	45373-1337
Country	:	US
Telephone Number	:	937-335-0061
Fax Number	:	937-339-9336

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MOHAMMAD BELAYET HUSSAIN
Credential	:	MD
Telephone Number	:	937-335-0061

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	11/03/2009

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Directions to “MIAMI COUNTY UROLOGISTS INC ” Practice Location

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