MEDICARE: AYUB HUSSAIN M.D.

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	L2334	TX
2	207RG0100X	Gastroenterology Physician	L2334	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	8K2620	OTHER	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2141354	OTHER	UNITED

General Provider Information

NPI Number	:	1538279468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYUB HUSSAIN M.D.

Provider Business Mailing Address
First Line	:	11511 SHADOW CREEK PKWY
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7298
Country	:	US
Telephone Number	:	713-442-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	10425 HUFFMEISTER RD STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-3429
Country	:	US
Telephone Number	:	281-477-9305
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/31/2023

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