Provider Demographics
NPI:1396004859
Name:SYED, MUMTAZ B (MD)
Entity Type:Individual
Prefix:
First Name:MUMTAZ
Middle Name:B
Last Name:SYED
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1249 15TH ST
Mailing Address - Street 2:STE 2000
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-3662
Mailing Address - Country:US
Mailing Address - Phone:304-691-1000
Mailing Address - Fax:304-691-1693
Practice Address - Street 1:1249 15TH ST
Practice Address - Street 2:STE 2000
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3662
Practice Address - Country:US
Practice Address - Phone:304-691-1000
Practice Address - Fax:304-691-1693
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2022-07-18
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Provider Licenses
StateLicense IDTaxonomies
390200000X
TXR32292085D0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Neuroimaging
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program