Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 21975 | WV |
N | 111NI0900X | Internist | 21975 | WV |
N | 207RH0003X | Hematology & Oncology | 2010017185 | MO |
Y | 207RH0003X | Hematology & Oncology | ME129380 | FL |
NPI | 1023111572 |
---|---|
Provider Name | Dr. Akm Mosharraf Hossain |
First Address | Clearwater, FL 33757-8744 |
Second Address | Plant City, FL 33566-0959 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 05/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
019114700 | (05) | FL |