Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | ME106772 | FL |
Y | 208200000X | Surgeon | ME106772 | FL |
Y | 208600000X | Surgeon | ME106772 | FL |
NPI | 1245266329 |
---|---|
Provider Name | Dr. Hussein Kalahy Osman-Mohamed |
First Address | Venice, FL 34285-8052 |
Second Address | Venice, FL 34285-8052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 22/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003294500 | (05) | FL |
I58403 | (02) |