Ebrahim Hoosien MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME86884 Issued in FL

Legal business name

EBRAHIM HOOSIEN MD PC

Practice address

13005 Southern Blvd
Suite 211
Loxahatchee, FL 33470-9272

Phone

(561) 422-0082

Fax

(561) 422-0083

NPI assigned

Dec 21, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ebrahim Hoosien, MDNPI 1770522112

Title

Owner

Phone

(561) 422-0082

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ebrahim Hoosien, MD

  • Internal Medicine Physician
  • Loxahatchee, FL
  • NPI 1770522112
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1265735880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD",
            "address_2": "SUITE 211",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709272",
            "telephone_number": "561-422-0082",
            "fax_number": "561-422-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD",
            "address_2": "SUITE 211",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709272",
            "telephone_number": "561-422-0082",
            "fax_number": "561-422-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBRAHIM HOOSIEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "HOOSIEN",
        "authorized_official_first_name": "EBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-422-0082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME86884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269666500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stephanie J Ellis, PHARMD

• Internal Medicine Physician in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.