Hussain, Shahid

Hussain, Shahid is an individual health care provider with primary practice located at 2205 Ross Ave Ste 101, El Centro CA 92243-3623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Hussain, Shahid can be contacted via phone (760) 353-0404.

Contact Information

Primary practice address
2205 Ross Ave Ste 101 El Centro CA 92243-3623
Fax: (760) 353-0392
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A80449 California

Profile Details

NPI number 1063497220
LBN Legal business name Hussain, Shahid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Feb 2nd, 2021 - about 3 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 1063497220 NPPES
California Other GL123Y NO. CALIFORNIA PTAN
California Other GL123Z NO. CALIFORNIA PTAN
California MEDICAID 00A804490 NO. CALIFORNIA PTAN

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