Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | N8581 | TX |
N | 111NI0900X | Internist | N8581 | TX |
N | 207RG0300X | Geriatric Medicine | 061665 | GA |
Y | 207RG0300X | Geriatric Medicine | N8581 | TX |
N | 207RH0002X | Hospice and Palliative Medicine | N8581 | TX |
NPI | 1376595611 |
---|---|
Provider Name | Asif S Syed |
First Address | Austin, TX 78730-3592 |
Second Address | Bertram, TX 78605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 06/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H92402 | (02) |