Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | ME93143 | FL |
N | 2084N0400X | Neurologist | 051777 | GA |
Y | 2084N0400X | Neurologist | ME93143 | FL |
NPI | 1497851042 |
---|---|
Provider Name | Dr. Syed A Asad |
First Address | Jacksonville, FL 32217-4288 |
Second Address | Jacksonville, FL 32217-4288 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 11/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001790100 | (05) | FL |
I43763 | (02) | FL |