Provider Demographics
NPI:1518963081
Name:SYED, IFTEQAR (MD)
Entity Type:Individual
Prefix:DR
First Name:IFTEQAR
Middle Name:
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 1:4650 LAMAR AVE
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75462-7400
Mailing Address - Country:US
Mailing Address - Phone:903-785-3400
Mailing Address - Fax:903-785-3403
Practice Address - Street 1:4650 LAMAR AVE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75462-7400
Practice Address - Country:US
Practice Address - Phone:903-785-3400
Practice Address - Fax:903-785-3403
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-21
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2294207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096428002Medicaid
TX7532294OtherAETNA
TX5GCOtherBCBS
TXG67397Medicare UPIN
TX096428002Medicaid