Provider Demographics
NPI:1376737932
Name:HUSSAIN, MOHAMMAD FARHAD (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:FARHAD
Last Name:HUSSAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3315 COLORADO BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6884
Mailing Address - Country:US
Mailing Address - Phone:940-320-1708
Mailing Address - Fax:940-565-5457
Practice Address - Street 1:3315 COLORADO BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6884
Practice Address - Country:US
Practice Address - Phone:940-320-1708
Practice Address - Fax:940-565-5457
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN3746207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX306920501Medicaid
TX306920501Medicaid