Provider Demographics
NPI:1518352251
Name:SYEDA, SARAH MUBEEN (PA-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MUBEEN
Last Name:SYEDA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 GREENWAY CENTER DR
Mailing Address - Street 2:SUITE 440
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3514
Mailing Address - Country:US
Mailing Address - Phone:301-220-1333
Mailing Address - Fax:301-220-1533
Practice Address - Street 1:7501 GREENWAY CENTER DR
Practice Address - Street 2:SUITE 660
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3514
Practice Address - Country:US
Practice Address - Phone:240-297-7953
Practice Address - Fax:301-220-1533
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0005719363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant