MEDICARE: MOHAMMAD AHRAZ 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	207RN0300X	Nephrology Physician	A163153	CA
2	207RN0300X	Nephrology Physician	CDR.0005817	CO
3	207R00000X	Internal Medicine Physician	A163153	CA

General Provider Information

NPI Number	:	1801245063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD AHRAZ HUSSAIN MD

Provider Business Mailing Address
First Line	:	2218 MATHEWS AVE UNIT 6
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-3153
Country	:	US
Telephone Number	:	832-469-2099
Fax Number	:

Provider Business Practice Location Address
First Line	:	2218 MATHEWS AVE UNIT 6
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-3153
Country	:	US
Telephone Number	:	832-469-2099
Fax Number	:

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

Provider Enumeration Date	:	06/08/2016
Last Update Date	:	09/04/2025

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