Provider Demographics
NPI:1235487042
Name:SADIQ N SYED MD LLC
Entity Type:Organization
Organization Name:SADIQ N SYED MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SADIQ
Authorized Official - Middle Name:N
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-549-1100
Mailing Address - Street 1:5963 EXCHANGE DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-9251
Mailing Address - Country:US
Mailing Address - Phone:410-549-1100
Mailing Address - Fax:410-549-1101
Practice Address - Street 1:5963 EXCHANGE DR
Practice Address - Street 2:SUITE 108
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-9251
Practice Address - Country:US
Practice Address - Phone:410-549-1100
Practice Address - Fax:410-549-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD207W00000X, 207WX0107X
VA207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD381008Medicare PIN
MD247134Medicare PIN