| Ebrahim Hoosien Md Pc | |
|
13005 Southern Blvd Suite 211 Loxahatchee FL 33470-9272 | |
| (561) 422-0082 | |
| (561) 422-0083 |
| Full Name | Ebrahim Hoosien Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13005 Southern Blvd, Loxahatchee, Florida |
| Authorized Official Name and Position | Ebrahim Hoosien (OWNER) |
| Authorized Official Contact | 5614220082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebrahim Hoosien Md Pc 13005 Southern Blvd Suite 211 Loxahatchee FL 33470-9272 Ph: (561) 422-0082 | Ebrahim Hoosien Md Pc 13005 Southern Blvd Suite 211 Loxahatchee FL 33470-9272 Ph: (561) 422-0082 |
| NPI Number | 1265735880 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 02/25/2013 |
| Medicare PECOS PAC ID | 3779772983 |
|---|---|
| Medicare Enrollment ID | O20110104000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265735880 | NPI | - | NPPES |
| 269666500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME86884 (Florida) | Primary |
| Provider Name | Ebrahim Hoosien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770522112 PECOS PAC ID: 9931012218 Enrollment ID: I20031112000171 |
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