Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 201003 | LA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | ME109279 | FL |
NPI | 1144323312 |
---|---|
Provider Name | Sameh M Hussein |
First Address | Coral Gables, FL 33146 |
Second Address | Coral Gables, FL 33146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 17/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003563000 | (05) | FL |
1502863 | (05) | LA |