Individual
DR. BASHARAT HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 BUDINGER AVENUE, STE A, ST. CLOUD, FL 34769-6007
(407) 498-0056
(407) 498-0057
Mailing address
1600 BUDINGER AVENUE, STE A, ST. CLOUD, FL 34769-6007
(407) 498-0056
(407) 498-0057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME100447
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
18350
MS
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME100447
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03222067
—
MS
Enumeration date
08/23/2006
Last updated
08/12/2009
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