MEDICARE: SAYED A. HUSSAIN M.D. 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	207R00000X	Internal Medicine Physician	A30580	CA

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	:	1477630275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAYED A. HUSSAIN M.D. INC.

Provider Business Mailing Address
First Line	:	729 SUNRISE AVE STE 605
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95661-4542
Country	:	US
Telephone Number	:	916-782-5100
Fax Number	:	916-784-7100

Provider Business Practice Location Address
First Line	:	729 SUNRISE AVE STE 605
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95661-4542
Country	:	US
Telephone Number	:	916-782-5100
Fax Number	:	916-784-7100

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SAYED A HUSSAIN
Credential	:	M.D.
Telephone Number	:	916-782-5100

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	08/22/2020

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