Individual
SHAMA HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5412 CURRY FORD RD, OLRANDO, FL 32812
(407) 658-7882
(407) 658-7995
Mailing address
5412 CURRY FORD RD, OLRANDO, FL 32812
(407) 658-7882
(407) 658-7995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME94436
FL
207KA0200X
Allergy Physician
Primary
ME94436
FL
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
ME94436
FL
208D00000X
General Practice Physician
ME94436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274097400
—
FL
Enumeration date
08/31/2006
Last updated
05/17/2018
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