Provider Demographics
NPI:1043354194
Name:SOOFI INSTITUTE OF INFECTIOUS DISEASES & TRAVEL MEDICINE, PA.
Entity Type:Organization
Organization Name:SOOFI INSTITUTE OF INFECTIOUS DISEASES & TRAVEL MEDICINE, PA.
Other - Org Name:SOOFI INSTITUTE OF ID & TM
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUSSAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-922-5252
Mailing Address - Street 1:3106 ACORN WOOD WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-5826
Mailing Address - Country:US
Mailing Address - Phone:281-922-5252
Mailing Address - Fax:281-486-4496
Practice Address - Street 1:11914 ASTORIA BLVD
Practice Address - Street 2:SUITE 130
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6064
Practice Address - Country:US
Practice Address - Phone:281-922-5252
Practice Address - Fax:281-486-4496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00602KMedicare ID - Type UnspecifiedGROUP MEDICARE NUMBER