MEDICARE: DR. MOHAMMED RUMMAN RASHID HOSSAIN DDS

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	1223G0001X	General Practice Dentistry	062117	NY
2	122300000X	Dentist	062117	NY

General Provider Information

NPI Number	:	1922627868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMED RUMMAN RASHID HOSSAIN DDS

Provider Business Mailing Address
First Line	:	4205 AVENUE P
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3519
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4205 AVENUE P
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3519
Country	:	US
Telephone Number	:	718-844-6537
Fax Number	:

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

Provider Enumeration Date	:	04/10/2020
Last Update Date	:	02/10/2022

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