Provider Demographics
NPI:1760425664
Name:SYED, SAMIRA K (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMIRA
Middle Name:K
Last Name:SYED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAMIRA
Other - Middle Name:A
Other - Last Name:PARACHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:214-645-4673
Mailing Address - Fax:214-648-1955
Practice Address - Street 1:5323 HARRY HINES BLVD.
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-7208
Practice Address - Country:US
Practice Address - Phone:214-645-4673
Practice Address - Fax:214-648-1955
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6756207RX0202X, 207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX117498905Medicaid
TX8S7052OtherBLUE CROSS OF TEXAS
P00255480OtherRAILROAD
TX117498906Medicaid
TX8G5186Medicare PIN
G29883Medicare UPIN
TX8D7450Medicare PIN