Organization
BASHARAT HUSSAIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHARAT HUSSAIN MD (PRESIDENT)
(407) 498-0056
Entity
Organization
Contact information
Practice address
1600 BUDINGER AVE, SUITE A, SAINT CLOUD, FL 34769-6008
(407) 498-0056
(407) 498-0057
Mailing address
1600 BUDINGER AVE, SUITE A, SAINT CLOUD, FL 34769-6008
(407) 498-0056
(407) 498-0057
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME 100447
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 100447
MEDICAL LICENSE
FL
Enumeration date
07/22/2009
Last updated
07/22/2009
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