Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125.057542 | IL |
N | 111NI0900X | Internist | 125.057542 | IL |
Y | 207RH0000X | Hematologist | 036146393 | IL |
NPI | 1437470721 |
---|---|
Provider Name | Dr. Nasheed Mohammad Hossain |
First Address | Chicago, IL 60637-1447 |
Second Address | Chicago, IL 60637-1447 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2010 |
Last Update Date | 15/04/2021 |