Provider Demographics
NPI:1780989376
Name:HUSAIN, SAYED MOHAMMAD (MD)
Entity type:Individual
Prefix:
First Name:SAYED
Middle Name:MOHAMMAD
Last Name:HUSAIN
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:PO BOX 952951
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32795-2951
Mailing Address - Country:US
Mailing Address - Phone:407-265-2540
Mailing Address - Fax:407-265-9167
Practice Address - Street 1:631 PALM SPRINGS DR STE 104
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-7854
Practice Address - Country:US
Practice Address - Phone:407-265-2540
Practice Address - Fax:407-265-9167
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN50101208M00000X, 207R00000X
FLME128664207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine