Provider Demographics
NPI:1245266329
Name:OSMAN-MOHAMED, HUSSEIN KALAHY (MD)
Entity type:Individual
Prefix:DR
First Name:HUSSEIN
Middle Name:KALAHY
Last Name:OSMAN-MOHAMED
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 1:1700 NW 49TH ST STE 125
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3750
Mailing Address - Country:US
Mailing Address - Phone:954-831-2763
Mailing Address - Fax:
Practice Address - Street 1:1625 SE 3RD AVE STE 721
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-2521
Practice Address - Country:US
Practice Address - Phone:954-831-2763
Practice Address - Fax:954-712-3970
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME106772204F00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003294500Medicaid
FL003294500Medicaid