Basic Information
Provider Information
NPI: 1871930594
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUSSAIN
FirstName: SAAD SYED
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
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Mailing Information
Address1: 15500 MIDDLEBROOK DR APT 7101
Address2:  
City: HOUSTON
State: TX
PostalCode: 770581244
CountryCode: US
TelephoneNumber: 7186307000
FaxNumber:  
Practice Location
Address1: 1602 W BAKER RD STE A
Address2:  
City: BAYTOWN
State: TX
PostalCode: 775212282
CountryCode: US
TelephoneNumber: 2814284024
FaxNumber: 2814284026
Other Information
ProviderEnumerationDate: 06/04/2013
LastUpdateDate: 08/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 08/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0011XR3871TXN193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
208M00000XMD2017-0983NMN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000XR3871TXY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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