Dr Mohammad Tahir Hussain, MD | |
4500 San Pablo Rd S, Jacksonville, FL 32224 | |
(904) 953-2000 | |
Not Available |
Full Name | Dr Mohammad Tahir Hussain |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 4500 San Pablo Rd S, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760762819 | NPI | - | NPPES |
ME137887 | Other | FL | FL LICENSE |
58778 | Other | MN | MN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 58778 (Minnesota) | Secondary |
208M00000X | Hospitalist | 58778 (Minnesota) | Secondary |
208M00000X | Hospitalist | ME137887 (Florida) | Primary |
Entity Name | Mayo Clinic Jacksonville |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790772317 PECOS PAC ID: 5698689297 Enrollment ID: O20031118000388 |
Mailing Address | Practice Location Address |
---|---|
Dr Mohammad Tahir Hussain, MD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 | Dr Mohammad Tahir Hussain, MD 4500 San Pablo Rd S, Jacksonville, FL 32224 Ph: (904) 953-2000 |
Ricardo Pagan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Zelia Yanique Archibald, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3850 Fax: 904-244-4799 | |
Dr. Vera Utagah Abaaba, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Credentialing Department, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Dr. Christopher Barusya, MBCHB Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Shahbaz Yousaf, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3625 University Blvd S, Memorial Hospitalist, Jacksonville, FL 32216 Phone: 786-399-9700 | |
Ebone Danielle Hill, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Joshua S Elder, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 |