Provider Demographics
NPI:1730341108
Name:HOSSAIN, MOHAMMED SAYEED (MD)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:SAYEED
Last Name:HOSSAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 WELLINGTON DR SW
Mailing Address - Street 2:SUITE C
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-8620
Mailing Address - Country:US
Mailing Address - Phone:252-991-6767
Mailing Address - Fax:252-991-6770
Practice Address - Street 1:2303 WELLINGTON DR SW
Practice Address - Street 2:SUITE C
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-8620
Practice Address - Country:US
Practice Address - Phone:252-991-6767
Practice Address - Fax:252-991-6770
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-02024207RP1001X, 207RC0200X, 207R00000X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC003396260OtherUNITED HEALTHCARE
NC237232OtherMEDCOST
NCP01176992OtherMEDICARE RR
NC5918127Medicaid
NC237232OtherMEDCOST