Individual
MOHAMMED AMZAD HOSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
929 N US HIGHWAY 441 STE 503, LADY LAKE, FL 32159
(352) 578-2486
(352) 358-3884
Mailing address
110 E BERKSHIRE CIR, LONGWOOD, FL 32779-5620
(732) 347-5584
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
280758
NY
207R00000X
Internal Medicine Physician
ME126913
FL
207RN0300X
Nephrology Physician
Primary
ME126913
FL
Other
Enumeration date
06/01/2015
Last updated
10/03/2019
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