Provider Demographics
NPI:1275761983
Name:HOSSAIN, SHAILA C (MD)
Entity Type:Individual
Prefix:MRS
First Name:SHAILA
Middle Name:C
Last Name:HOSSAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5005 N PIEDRAS ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79920-5001
Mailing Address - Country:US
Mailing Address - Phone:915-569-2521
Mailing Address - Fax:915-569-2653
Practice Address - Street 1:801 W MARCY DR APT 28
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-6501
Practice Address - Country:US
Practice Address - Phone:915-569-2521
Practice Address - Fax:915-569-2653
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60090-20207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine