Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 21325 | OK |
N | 111NI0900X | Internist | 21325 | OK |
N | 207R00000X | Internist | E-4626 | AR |
N | 111NI0900X | Internist | E-4626 | AR |
N | 207R00000X | Internist | N2309 | TX |
N | 111NI0900X | Internist | N2309 | TX |
Y | 207RX0202X | Medical Oncology | N2309 | TX |
NPI | 1154411635 |
---|---|
Provider Name | Dr. Nayyar Syed |
First Address | Dallas, TX 75391-1230 |
Second Address | Mount Pleasant, TX 75455-2336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 19/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
158490001 | (05) | AR |
201742802 | (05) | TX |
8BZ488 | BLUECROSS BLUESHIELD OF TX (01) | TX |
H09789 | (02) | |
P00778637 | RAILROAD MEDICARE (01) | TX |