Provider Demographics
NPI:1609889047
Name:SYED, SADIQ NASEERUDIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SADIQ
Middle Name:NASEERUDIN
Last Name:SYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5963 EXCHANGE DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-9251
Mailing Address - Country:US
Mailing Address - Phone:410-549-1100
Mailing Address - Fax:410-549-1101
Practice Address - Street 1:5963 EXCHANGE DR
Practice Address - Street 2:SUITE 108
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-9251
Practice Address - Country:US
Practice Address - Phone:410-549-1100
Practice Address - Fax:410-549-1101
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDO067108207W00000X, 207WX0107X
VA0101240346207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD017460200Medicaid
MD150761300Medicaid
MD132407ZK8LMedicare PIN
MDKQ41Medicare UPIN
VAVV7796AMedicare PIN
MD127979YJF3Medicare PIN
MD150761300Medicaid