MEDICARE: DR. SYED QHADEER HUSSAINI 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	2084P0800X	Psychiatry Physician	63548-20	WI

General Provider Information

NPI Number	:	1972731479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYED QHADEER HUSSAINI M.D.

Provider Business Mailing Address
First Line	:	665 TOLDT FOREST CT
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-6310
Country	:	US
Telephone Number	:	201-364-7201
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 W SCHROEDER DR
Second Line	:
City	:	BROWN DEER
State	:	WI
Zip	:	53223-1469
Country	:	US
Telephone Number	:	414-750-0847
Fax Number	:

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

Provider Enumeration Date	:	06/23/2009
Last Update Date	:	01/26/2016

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