Provider Demographics
NPI:1376638486
Name:MOOSVI, SYEDA B (MD)
Entity Type:Individual
Prefix:DR
First Name:SYEDA
Middle Name:B
Last Name:MOOSVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:110 IRVING ST NW
Mailing Address - Street 2:1A 50
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3017
Mailing Address - Country:US
Mailing Address - Phone:202-877-2835
Mailing Address - Fax:202-877-8288
Practice Address - Street 1:110 IRVING STREET
Practice Address - Street 2:1 A50
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-877-2835
Practice Address - Fax:202-877-8288
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD036558207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC38976800Medicaid
DC38976800Medicaid