Provider Demographics
NPI:1891304192
Name:HUSSAIN, NADEEM (MBBS)
Entity type:Individual
Prefix:
First Name:NADEEM
Middle Name:
Last Name:HUSSAIN
Suffix:
Gender:
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 JOHNS LAKE RD APT 715
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-6662
Mailing Address - Country:US
Mailing Address - Phone:520-351-9625
Mailing Address - Fax:
Practice Address - Street 1:6909 OLD HIGHWAY 441 S STE 105
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-7039
Practice Address - Country:US
Practice Address - Phone:855-496-4964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2025-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10086147207RH0002X
AZR78109207RI0200X
FLME167106207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease