Provider Demographics
NPI:1184780918
Name:NASIR HUSAIN, M.D., P.C.
Entity type:Organization
Organization Name:NASIR HUSAIN, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:S
Authorized Official - Middle Name:NASIR
Authorized Official - Last Name:HUSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-739-8674
Mailing Address - Street 1:43303 SCHOENHERR RD
Mailing Address - Street 2:SUITE NUMBER 101
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-1959
Mailing Address - Country:US
Mailing Address - Phone:586-739-8674
Mailing Address - Fax:586-739-5576
Practice Address - Street 1:43303 SCHOENHERR RD
Practice Address - Street 2:SUITE NUMBER 101
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-1959
Practice Address - Country:US
Practice Address - Phone:586-739-8674
Practice Address - Fax:586-739-5576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301052121174400000X
207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MICG8215OtherMEDICARE RAILROAD
MI440E011670OtherBCBS
MI440E011670OtherBCBS