Syed Mohammed Amanuddin, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Hattiesburg, MS
NPI 1992509939 · NPPES record last updated Apr 1, 2025
Key facts
- NPI
- 1992509939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 6051 US Hwy 49 S
Hattiesburg, MS 39401 - Phone
- (601) 288-7000
- NPI assigned
- Apr 1, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250721001147 | MS | Order and Referring Only - Family Practice |
0345756045 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
6051 US Hwy 49 S
Hattiesburg, MS 39401
Mailing address
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Phone (601) 288-7000
Other providers in Hattiesburg, MS
- Alluring Grace
- Alpha Sleep, LLC
- Nabih Alsheikh
- Altruistic Care LLC
- Johanna M Alvarez
- Alex Ambeau
- Ambulatory Cardiovascular Center of Mississippi
- Amedisys Mississippi, LLC
- Jessica Amoruso
- Ariyana Ashunti Amos
All providers in Hattiesburg, MS · Student in an Organized Health Care Education/Training Program in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.