MEDICARE: SAJJAD HUSSAIN MD

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	207R00000X	Internal Medicine Physician	4301094288	MI

General Provider Information

NPI Number	:	1174810741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAJJAD HUSSAIN MD

Provider Business Mailing Address
First Line	:	316 ROLLING MEADOWS DR
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-6189
Country	:	US
Telephone Number	:	734-369-8913
Fax Number	:

Provider Business Practice Location Address
First Line	:	1780 E PARNALL RD
Second Line	:	PARNALL CORRECTION FACILITY - HEALTH CARE CENTER
City	:	JACKSON
State	:	MI
Zip	:	49201-7136
Country	:	US
Telephone Number	:	517-780-6393
Fax Number	:

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

Provider Enumeration Date	:	07/05/2011
Last Update Date	:	07/05/2011

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