Individual
MR. MOHAMMAD OMAR HUSSAINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 362-1010
Mailing address
12902 MAGNOLIA DRIVE, TAMPA, FL 33647
(813) 745-6118
(813) 745-1708
Taxonomy
Speciality
Code
Description
License number
State
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
Primary
ME116524
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2007012839
MO
Other
Enumeration date
08/15/2007
Last updated
01/18/2018
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