Provider Demographics
NPI:1669490876
Name:SYED, ASIF (MD)
Entity Type:Individual
Prefix:
First Name:ASIF
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 1:341 WHEATFIELD DR., SUITE 180
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-4637
Mailing Address - Country:US
Mailing Address - Phone:972-270-8859
Mailing Address - Fax:972-279-5551
Practice Address - Street 1:341 WHEATFIELD DR., SUITE 180
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-4637
Practice Address - Country:US
Practice Address - Phone:972-270-8859
Practice Address - Fax:972-279-5551
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0776208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX033046604Medicaid
TX033046603Medicaid
TX033046603Medicaid
TX8G3504Medicare ID - Type Unspecified
TXC22435Medicare UPIN