Provider Demographics
NPI:1326379561
Name:SYED, ASARULISLAM M (MD)
Entity Type:Individual
Prefix:DR
First Name:ASARULISLAM
Middle Name:M
Last Name:SYED
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 1:15821 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WASCO
Mailing Address - State:CA
Mailing Address - Zip Code:93280-9615
Mailing Address - Country:US
Mailing Address - Phone:661-758-0899
Mailing Address - Fax:661-758-3171
Practice Address - Street 1:15821 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WASCO
Practice Address - State:CA
Practice Address - Zip Code:93280-9615
Practice Address - Country:US
Practice Address - Phone:661-758-0899
Practice Address - Fax:661-758-3171
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA755382084N0400X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology