Individual
SYED FAWAD HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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