Provider Demographics
NPI:1306027024
Name:SYED, LUBNA JAVED (MD)
Entity Type:Individual
Prefix:MRS
First Name:LUBNA
Middle Name:JAVED
Last Name:SYED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LUBNA
Other - Middle Name:IMDAD
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 OLD RIVER RD
Mailing Address - Street 2:SUITE 165-B
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9503
Mailing Address - Country:US
Mailing Address - Phone:661-665-2498
Mailing Address - Fax:661-665-2498
Practice Address - Street 1:300 OLD RIVER RD
Practice Address - Street 2:SUITE 165B
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9503
Practice Address - Country:US
Practice Address - Phone:661-665-2498
Practice Address - Fax:661-665-2498
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-21
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA101423207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist