MEDICARE: MR. MOHAMMAD MUSLIM HUSSAIN M.B.B.S

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	390200000X	Student in an Organized Health Care Education/Training Program
2	208M00000X	Hospitalist Physician	T2026-122	AR

General Provider Information

NPI Number	:	1114615200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MOHAMMAD MUSLIM HUSSAIN M.B.B.S

Provider Business Mailing Address
First Line	:	745 W MOANA LN STE 300
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-4980
Country	:	US
Telephone Number	:	775-327-5174
Fax Number	:

Provider Business Practice Location Address
First Line	:	745 W. MOANA LANE
Second Line	:	SUITE 300
City	:	RENO
State	:	NV
Zip	:	89509
Country	:	US
Telephone Number	:	775-327-5174
Fax Number	:

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

Provider Enumeration Date	:	04/26/2023
Last Update Date	:	06/15/2026

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