Provider Demographics
NPI:1992490650
Name:HOSSAIN, SYED
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:
Last Name:HOSSAIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1656 GRAND CYPRESS BLVD
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45068-9840
Mailing Address - Country:US
Mailing Address - Phone:937-838-3410
Mailing Address - Fax:
Practice Address - Street 1:1656 GRAND CYPRESS BLVD
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:OH
Practice Address - Zip Code:45068-9840
Practice Address - Country:US
Practice Address - Phone:937-838-3410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care