MEDICARE: DR. SYED ALI MUTTAQI HUSAIN M.D

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	4301096702	MI
2	208M00000X	Hospitalist Physician	32114	OK
3	207RR0500X	Rheumatology Physician	4301096702	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174838825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYED ALI MUTTAQI HUSAIN M.D

Provider Business Mailing Address
First Line	:	43303 SCHOENHERR RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48313-1959
Country	:	US
Telephone Number	:	586-739-8674
Fax Number	:	586-739-5576

Provider Business Practice Location Address
First Line	:	43303 SCHOENHERR RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48313-1959
Country	:	US
Telephone Number	:	586-739-8674
Fax Number	:	586-739-5576

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

Provider Enumeration Date	:	08/18/2010
Last Update Date	:	09/29/2022

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