MEDICARE: MOHAMMAD I 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	2084N0400X	Neurology Physician	MD0000028620	TN

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	:	1699773747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD I HUSSAIN MD

Provider Business Mailing Address
First Line	:	657 E BROADWAY BLVD STE C
Second Line	:
City	:	JEFFERSON CITY
State	:	TN
Zip	:	37760-4949
Country	:	US
Telephone Number	:	865-475-9062
Fax Number	:	865-475-9063

Provider Business Practice Location Address
First Line	:	2727 ASBURY RD STE 101102
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37914-6446
Country	:	US
Telephone Number	:	716-948-6754
Fax Number	:

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	06/24/2026

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