Hussain, Shahid
Hussain, Shahid is an individual health care provider with primary practice located at 800 Freeport Ave Nw Ste 100 , Elk River MN 55330-2723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hussain, Shahid can be contacted via phone (763) 581-5200.Contact Information
Primary practice address
800 Freeport Ave Nw Ste 100
Elk River MN 55330-2723
Phone: (763) 581-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 73510 | Minnesota |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01041443A | Indiana |
Profile Details
| NPI number | 1154314722 |
|---|---|
| LBN Legal business name | Hussain, Shahid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Sep 8th, 2023 - about last year |
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 | 1154314722 | NPPES |
| Illinois | Other | 90001358 | BCBSIL |
| Illinois | MEDICAID | 200011080 | BCBSIL |
| Illinois | MEDICAID | 036067498 | BCBSIL |
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