MEDICARE: DR. FAISAL HUDA 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	207L00000X	Anesthesiology Physician	ME115739	FL
2	390200000X	Student in an Organized Health Care Education/Training Program

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	:	1790927200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FAISAL HUDA MD

Provider Business Mailing Address
First Line	:	18501 PINES BLVD STE 211
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-1420
Country	:	US
Telephone Number	:	954-417-1330
Fax Number	:	954-637-1955

Provider Business Practice Location Address
First Line	:	18501 PINES BLVD STE 211
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-1420
Country	:	US
Telephone Number	:	954-417-1330
Fax Number	:	954-637-1955

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

Provider Enumeration Date	:	03/30/2009
Last Update Date	:	02/19/2019

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Directions to “ DR. FAISAL HUDA MD” Practice Location

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