Healthcare Provider Details

I. General information

NPI: 1356797534
Provider Name (Legal Business Name): HAROON HUSSAIN SYED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2016
Last Update Date: 10/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8423 MARKET STREET ST. ELIZABETH BOARDMAN HOSPITAL
BOARDMAN OH
44512
US

IV. Provider business mailing address

8423 MARKET STREET, SUITE 101
BOARDMAN OH
44512
US

V. Phone/Fax

Practice location:
  • Phone: 330-729-8757
  • Fax:
Mailing address:
  • Phone: 330-729-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: