MEDICARE: SYED NASIR HUSAIN M D

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	207RI0200X	Infectious Disease Physician	4301052121	MI

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	:	1861408734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYED NASIR HUSAIN M D

Provider Business Mailing Address
First Line	:	43303 SCHOENHERR RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48313-1959
Country	:	US
Telephone Number	:	586-739-8674
Fax Number	:	586-739-5567

Provider Business Practice Location Address
First Line	:	43303 SCHOENHERR RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48313-1959
Country	:	US
Telephone Number	:	586-739-8674
Fax Number	:	586-739-5567

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	05/02/2012

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