Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | 39586 | IA |
N | 2080P0203X | Pediatric Critical Care Doctor | 62187-020 | WI |
Y | 2080P0203X | Pediatric Critical Care Doctor | R2022 | TX |
NPI | 1053607689 |
---|---|
Provider Name | Dr. Muhammad Ali Syed |
First Address | Friendswood, TX 77546-2241 |
Second Address | Green Bay, WI 54301-3526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2011 |
Last Update Date | 02/04/2021 |