Provider Demographics
NPI:1437543907
Name:SYED, MADIHA (MD)
Entity Type:Individual
Prefix:
First Name:MADIHA
Middle Name:
Last Name:SYED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 LACKAWANNA PL APT 541
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2961
Mailing Address - Country:US
Mailing Address - Phone:224-600-3508
Mailing Address - Fax:224-600-3508
Practice Address - Street 1:21 LACKAWANNA PL
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2957
Practice Address - Country:US
Practice Address - Phone:224-600-3508
Practice Address - Fax:224-600-3508
Is Sole Proprietor?:No
Enumeration Date:2015-03-23
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2972002084P0800X
NJ25MA113418002084P0800X
OH35.1369052084P0800X
TXU85952084P0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program