MEDICARE: SYED F. HUSSAIN, MD, PC

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	NV11399	NV

General Provider Information

NPI Number	:	1770867129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYED F. HUSSAIN, MD, PC

Provider Business Mailing Address
First Line	:	1641 E FLAMINGO RD STE 10
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5257
Country	:	US
Telephone Number	:	702-734-4377
Fax Number	:

Provider Business Practice Location Address
First Line	:	1641 E FLAMINGO RD STE 10
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5257
Country	:	US
Telephone Number	:	702-734-4377
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SYED F HUSSAIN
Credential	:	MD
Telephone Number	:	702-734-4377

Provider Enumeration Date	:	10/04/2011
Last Update Date	:	10/04/2011

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