MEDICARE: BELAYET HOSSAIN 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME79044	FL
2	207RP1001X	Pulmonary Disease Physician	ME79044	FL
3	207R00000X	Internal Medicine Physician	ME79044	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00312911	OTHER	FL	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
2	05285	OTHER	FL	BLUE CROSS BLUE SHIELD
3	279226	OTHER	FL	WELLCARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619914868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELAYET HOSSAIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 266211
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-6211
Country	:	US
Telephone Number	:	567-967-4115
Fax Number	:	561-967-3463

Provider Business Practice Location Address
First Line	:	5401 S CONGRESS AVE
Second Line	:	# 204
City	:	ATLANTIS
State	:	FL
Zip	:	33462-6635
Country	:	US
Telephone Number	:	561-967-4118
Fax Number	:	561-967-3463

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

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	02/10/2022

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Directions to “ BELAYET HOSSAIN M.D.” Practice Location

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