Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2010-00477 | NC |
N | 207XS0117X | Orthopaedic Spine Surgeon | Q4309 | TX |
NPI | 1104082676 |
---|---|
Provider Name | Dr. Ishaq Yousuf Syed |
First Address | Dallas, TX 75246-1743 |
Second Address | Dallas, TX 75246-1621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2008 |
Last Update Date | 21/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5915247 | (05) | NC |