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NPI Code Detail

MEDICARE: DR. SHAISTA A HUSAIN M.D., F.A.C.S

MEDICARE:  DR. SHAISTA A HUSAIN  M.D., F.A.C.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
1207Y00000XOtolaryngology PhysicianJ0534TX

General Provider Information

NPI Number : 1700812179
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAISTA A HUSAIN M.D., F.A.C.S
Provider Business Mailing Address
First Line : 10021 MAIN ST STE B1
Second Line :
City : HOUSTON
State : TX
Zip : 77025-5253
Country : US
Telephone Number : 832-366-1477
Fax Number : 832-366-1479
Provider Business Practice Location Address
First Line : 10021 MAIN ST STE B1
Second Line :
City : HOUSTON
State : TX
Zip : 77025-5253
Country : US
Telephone Number : 832-366-1477
Fax Number : 832-366-1479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2006
Last Update Date : 03/09/2021

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Directions to “ DR. SHAISTA A HUSAIN M.D., F.A.C.S” Practice Location

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