MEDICARE: DR. MUHAMMAD SHAZAM HUSSAIN MD

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	2084V0102X	Vascular Neurology Physician	090507	OH

General Provider Information

NPI Number	:	1851576193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUHAMMAD SHAZAM HUSSAIN MD

Provider Business Mailing Address
First Line	:	9500 EUCLID AVE
Second Line	:	S-80, CLEVELAND CLINIC
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-445-8649
Fax Number	:	216-636-2061

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:	S-80, CLEVELAND CLINIC
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-445-8649
Fax Number	:	216-636-2061

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

Provider Enumeration Date	:	01/06/2008
Last Update Date	:	01/06/2008

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