MEDICARE: HUSAIN MEDICAL GROUP LTD

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	207RC0000X	Cardiovascular Disease Physician	11051	NV

General Provider Information

NPI Number	:	1962565267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUSAIN MEDICAL GROUP LTD

Provider Business Mailing Address
First Line	:	98 E LAKE MEAD PKWY
Second Line	:	SUITE 305
City	:	HENDERSON
State	:	NV
Zip	:	89015-5540
Country	:	US
Telephone Number	:	702-765-5780
Fax Number	:

Provider Business Practice Location Address
First Line	:	98 E LAKE MEAD PKWY
Second Line	:	SUITE 305
City	:	HENDERSON
State	:	NV
Zip	:	89015-5540
Country	:	US
Telephone Number	:	702-765-5780
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ABID HUSAIN
Credential	:	M.D.
Telephone Number	:	702-765-5780

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	03/30/2009

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