Hussain, Hassan Mohamed

Hussain, Hassan Mohamed is an individual health care provider with primary practice located at 3621 Forest Glenn Dr , Modesto CA 95355-1339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hussain, Hassan Mohamed can be contacted via phone (209) 521-9661.

Contact Information

Primary practice address
3621 Forest Glenn Dr Modesto CA 95355-1339
Phone: (209) 521-9661
Fax: (209) 521-9307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G70661 California

Profile Details

NPI number 1962485938
LBN Legal business name Hussain, Hassan Mohamed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Apr 20th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962485938 NPPES
California MEDICAID 1902828841

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