Provider Demographics
NPI:1568538858
Name:HOSSAIN, SHIEKH MOHAMMED M (MD FAAP)
Entity Type:Individual
Prefix:
First Name:SHIEKH MOHAMMED
Middle Name:M
Last Name:HOSSAIN
Suffix:
Gender:M
Credentials:MD FAAP
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Other - Credentials:
Mailing Address - Street 1:8701 STONEWALL ROAD
Mailing Address - Street 2:UNIT 1A
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110
Mailing Address - Country:US
Mailing Address - Phone:703-257-9878
Mailing Address - Fax:703-257-9772
Practice Address - Street 1:8701 STONEWALL ROAD
Practice Address - Street 2:UNIT 1A
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110
Practice Address - Country:US
Practice Address - Phone:703-257-9878
Practice Address - Fax:703-257-9772
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101221042208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
F2614Medicare UPIN