Provider Demographics
NPI:1720574551
Name:BATOOL, SYEDA SABEEKA (MD)
Entity Type:Individual
Prefix:
First Name:SYEDA SABEEKA
Middle Name:
Last Name:BATOOL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 GOVERNORS DR SW RM 389
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5123
Mailing Address - Country:US
Mailing Address - Phone:256-551-4652
Mailing Address - Fax:
Practice Address - Street 1:ECMC, 462 GRIDER STREET
Practice Address - Street 2:DK MILLER BUILDING, FIRST FLOOR, ROOM C-100 B
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:716-961-6956
Practice Address - Fax:716-961-6960
Is Sole Proprietor?:No
Enumeration Date:2018-07-04
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ALL4870R207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program