MEDICARE: SHAHID HUSSAIN 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	2084P0800X	Psychiatry Physician	C7-0005057	DE
2	2084P0800X	Psychiatry Physician	Q7562	TX

General Provider Information

NPI Number	:	1457614505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHID HUSSAIN M.D

Provider Business Mailing Address
First Line	:	2696 W WALNUT ST
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75042-6441
Country	:	US
Telephone Number	:	972-370-5517
Fax Number	:

Provider Business Practice Location Address
First Line	:	2696 W WALNUT ST
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75042-6441
Country	:	US
Telephone Number	:	972-370-5517
Fax Number	:

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

Provider Enumeration Date	:	06/22/2012
Last Update Date	:	12/04/2025

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Directions to “ SHAHID HUSSAIN M.D” Practice Location

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