Provider Demographics
NPI:1225362585
Name:FATEH HYDER, SYED MOHAMMED (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:MOHAMMED
Last Name:FATEH HYDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9550 FOREST LN STE 606
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6176
Mailing Address - Country:US
Mailing Address - Phone:469-804-7929
Mailing Address - Fax:469-804-7930
Practice Address - Street 1:9550 FOREST LN STE 606
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6176
Practice Address - Country:US
Practice Address - Phone:469-804-7929
Practice Address - Fax:469-804-7930
Is Sole Proprietor?:No
Enumeration Date:2009-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3639207QG0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine