Healthcare Provider Details

I. General information

NPI: 1659543197
Provider Name (Legal Business Name): NAJEEB SYED HUSSAINI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2008
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13067 N TELECOM PKWY
TEMPLE TERRACE FL
33637-0926
US

IV. Provider business mailing address

13067 N TELECOM PKWY
TEMPLE TERRACE FL
33637-0926
US

V. Phone/Fax

Practice location:
  • Phone: 813-779-6303
  • Fax: 786-868-0012
Mailing address:
  • Phone: 813-779-6303
  • Fax: 786-868-0012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number22673
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME121453
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number251833
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number251833
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: