Hassanein, Hossam M

Hassanein, Hossam M is an individual health care provider with primary practice located at 437-439 Nw Prima Vista Blvd , Port St Lucie FL 34983-8731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hassanein, Hossam M can be contacted via phone (561) 972-4180.

Contact Information

Primary practice address
437-439 Nw Prima Vista Blvd Port St Lucie FL 34983-8731
Phone: (561) 972-4180
Fax: (561) 972-4180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME68679 Florida

Profile Details

NPI number 1669468864
LBN Legal business name Hassanein, Hossam M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jun 13th, 2014 - 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 1669468864 NPPES
Florida MEDICAID 379604300

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