Provider Demographics
NPI:1447782321
Name:HOSSAIN, MAHMOOD R (DO)
Entity type:Individual
Prefix:DR
First Name:MAHMOOD
Middle Name:R
Last Name:HOSSAIN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:935 ELDRIDGE RD # 1030
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2809
Mailing Address - Country:US
Mailing Address - Phone:415-484-3229
Mailing Address - Fax:
Practice Address - Street 1:935 ELDRIDGE RD #1030
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2809
Practice Address - Country:US
Practice Address - Phone:415-484-3229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0361550772084P0800X
TXS97072084P0800X
ARE-132552084P0800X
ORDO2076422084P0800X
CA188212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry