Provider Demographics
NPI:1679338248
Name:IFTIKAR, SYED HUSSAIN (MSME, MSEE)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:HUSSAIN
Last Name:IFTIKAR
Suffix:
Gender:M
Credentials:MSME, MSEE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4410 MATILIJA AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3612
Mailing Address - Country:US
Mailing Address - Phone:925-997-4981
Mailing Address - Fax:
Practice Address - Street 1:4410 MATILIJA AVE
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3612
Practice Address - Country:US
Practice Address - Phone:925-997-4981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker