Provider Demographics
NPI:1295798759
Name:HUSSAIN, SAYYED TAHIR (MD)
Entity type:Individual
Prefix:
First Name:SAYYED
Middle Name:TAHIR
Last Name:HUSSAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10335 CROSS CREEK BLVD STE 20
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2764
Mailing Address - Country:US
Mailing Address - Phone:813-388-6838
Mailing Address - Fax:813-388-9526
Practice Address - Street 1:10335 CROSS CREEK BLVD STE 20
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2764
Practice Address - Country:US
Practice Address - Phone:813-388-6838
Practice Address - Fax:813-388-9526
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2014-08-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME85377207R00000X, 207RG0300X, 207RH0002X, 2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME85377OtherMEDICAL LICENSE NUMBER