Provider Demographics
NPI:1033120936
Name:MUZAFFAR, SYEMA (MD)
Entity Type:Individual
Prefix:DR
First Name:SYEMA
Middle Name:
Last Name:MUZAFFAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SYEMA
Other - Middle Name:
Other - Last Name:MUZAFFAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8913 COLLINFIELD DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-6704
Mailing Address - Country:US
Mailing Address - Phone:512-324-4973
Mailing Address - Fax:512-324-4948
Practice Address - Street 1:8913 COLLINFIELD DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-6704
Practice Address - Country:US
Practice Address - Phone:512-324-6850
Practice Address - Fax:512-324-6851
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2487208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147747303Medicaid
TX111433201OtherMEDICAID EPSDT
TX8462B2Medicare ID - Type Unspecified
TX111433201OtherMEDICAID EPSDT