Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME85377 | FL |
N | 111NI0900X | Internist | ME85377 | FL |
N | 207RG0300X | Geriatric Medicine | ME85377 | FL |
N | 207RH0002X | Hospice and Palliative Medicine | ME85377 | FL |
NPI | 1295798759 |
---|---|
Provider Name | Sayyed Tahir Hussain |
First Address | Tampa, FL 33647-2764 |
Second Address | Tampa, FL 33647-2764 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 15/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ME85377 | MEDICAL LICENSE NUMBER (01) | FL |