MEDICARE: FAISAL HUDA, MD PA

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	207L00000X	Anesthesiology Physician	ME 115739	FL

General Provider Information

NPI Number	:	1902346075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAISAL HUDA, MD PA

Provider Business Mailing Address
First Line	:	13856 NW 21ST ST
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33028-2619
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18501 PINES BLVD STE 211
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-1420
Country	:	US
Telephone Number	:	954-417-1330
Fax Number	:	954-637-1955

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FAISAL HUDA
Credential	:	MD
Telephone Number	:	954-417-1330

Provider Enumeration Date	:	03/08/2017
Last Update Date	:	02/19/2019

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