Provider Demographics
NPI:1205890415
Name:DAEE, HOSAIN (MD,)
Entity type:Individual
Prefix:DR
First Name:HOSAIN
Middle Name:
Last Name:DAEE
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4555 8 ST NW
Mailing Address - Street 2:STE 104
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030
Mailing Address - Country:US
Mailing Address - Phone:305-245-2768
Mailing Address - Fax:305-246-4659
Practice Address - Street 1:45 NW 8TH ST
Practice Address - Street 2:STE 104
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4452
Practice Address - Country:US
Practice Address - Phone:305-245-2768
Practice Address - Fax:305-246-4659
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26049207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL057225000Medicaid
FLD-27216Medicare UPIN
FL78475Medicare ID - Type Unspecified