MEDICARE: ABID 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	207R00000X	Internal Medicine Physician	A55869	CA

General Provider Information

NPI Number	:	1821157462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABID HUSSAIN MD

Provider Business Mailing Address
First Line	:	PO BOX 700
Second Line	:
City	:	HEMET
State	:	CA
Zip	:	92546-0700
Country	:	US
Telephone Number	:	951-658-2232
Fax Number	:	951-658-2216

Provider Business Practice Location Address
First Line	:	255 N GILBERT ST BLDG B4
Second Line	:
City	:	HEMET
State	:	CA
Zip	:	92543-4078
Country	:	US
Telephone Number	:	951-652-0060
Fax Number	:	888-379-5652

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

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	03/11/2025

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