Provider Demographics
NPI:1659171213
Name:HOSSAIN, SABERA
Entity type:Individual
Prefix:
First Name:SABERA
Middle Name:
Last Name:HOSSAIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 LEON ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5009
Mailing Address - Country:US
Mailing Address - Phone:347-968-9027
Mailing Address - Fax:
Practice Address - Street 1:30 LEON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5009
Practice Address - Country:US
Practice Address - Phone:617-373-3323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program