Provider Demographics
NPI:1598878506
Name:SALAHUDDIN, SYED AFRAZ (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:AFRAZ
Last Name:SALAHUDDIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1019 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SIKESTON
Mailing Address - State:MO
Mailing Address - Zip Code:63801-5043
Mailing Address - Country:US
Mailing Address - Phone:573-472-7702
Mailing Address - Fax:573-472-7719
Practice Address - Street 1:1019 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SIKESTON
Practice Address - State:MO
Practice Address - Zip Code:63801-5043
Practice Address - Country:US
Practice Address - Phone:573-472-7702
Practice Address - Fax:573-472-7719
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2021-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO20060109752084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology