Individual ProviderSafina HossainInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1321 Colby Ave, Everett, WA 98201(425) 261-2000(866) 747-2455PECOS EnrollmentBased on the most recent information from CMS, provider Safina Hossain is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1508251943Provider TypeIndividualFull NameHossain, SafinaTitleMs.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date4/2/2015Last Updated3/29/2021Contact InformationPractice LocationPractice Address1321 Colby Ave, Everett, WA 98201Phone(425) 261-2000FaxUnlisted FaxMailing LocationMailing AddressPO Box 3360, Portland, OR 97208-3360Phone(866) 747-2455FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD60785542WashingtonCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseMD60785542Washington