Provider Demographics
NPI:1558742346
Name:SYED, FURQAN HAIDER (MBBS, MD)
Entity Type:Individual
Prefix:
First Name:FURQAN
Middle Name:HAIDER
Last Name:SYED
Suffix:
Gender:M
Credentials:MBBS, MD
Other - Prefix:
Other - First Name:SYED
Other - Middle Name:FURQAN
Other - Last Name:HAIDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBBS, MD
Mailing Address - Street 1:9500 EUCLID AVENUE
Mailing Address - Street 2:L10-421
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-2136
Mailing Address - Fax:216-442-8507
Practice Address - Street 1:877 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-2807
Practice Address - Country:US
Practice Address - Phone:901-545-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH570273462085R0202X
TN626642085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology