Individual
SYED FAWAD HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1641 E FLAMINGO RD, #10, LAS VEGAS, NV 89119-5257
(702) 734-4377
(702) 369-8057
Mailing address
1641 E FLAMINGO RD, 10, LAS VEGAS, NV 89119-5257
(702) 734-4377
(702) 369-8057
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
11399
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506595
—
NV
01
—
CC4470
BLUE CROSS
NV
01
—
DH475Y
MEDICARE PTAN
—
Enumeration date
02/23/2006
Last updated
11/08/2011
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