Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 9600123 | NC |
Y | 111NI0900X | Internist | 9600123 | NC |
N | 207RI0200X | Infectious Disease | 9600123 | NC |
NPI | 1053363325 |
---|---|
Provider Name | Syed Ahmed Masood |
First Address | Raleigh, NC 27612-5440 |
Second Address | Raleigh, NC 27612-5440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 13/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8954626 | (05) | NC |
F58455 | (02) | NC |