Hussain, Mohamed Altaf
Hussain, Mohamed Altaf is an individual health care provider with primary practice located at 145 Union Street , Vernon Rockville CT 06066-3025. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Hussain, Mohamed Altaf can be contacted via phone (860) 375-8440.Contact Information
Primary practice address
145 Union Street
Vernon Rockville CT 06066-3025
Phone: (860) 375-8440
Fax: (860) 858-4091
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5393 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5393 | Connecticut |
Profile Details
NPI number | 1679914071 |
---|---|
LBN Legal business name | Hussain, Mohamed Altaf |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 13th, 2013 |
Last updated | Feb 5th, 2024 - about 9 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679914071 | NPPES |
Connecticut | MEDICAID | 008045576 | |
Connecticut | MEDICAID | 008064264 |
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