Provider Demographics
NPI:1922188267
Name:SYED, TANVEER FATIMA (MD)
Entity Type:Individual
Prefix:DR
First Name:TANVEER
Middle Name:FATIMA
Last Name:SYED
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 1:13450 RICHMOND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-6895
Mailing Address - Country:US
Mailing Address - Phone:281-556-0200
Mailing Address - Fax:281-556-0205
Practice Address - Street 1:13450 RICHMOND AVE STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-6895
Practice Address - Country:US
Practice Address - Phone:281-556-0200
Practice Address - Fax:281-556-0205
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5225207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AH869OtherBLUE CROSS BLUE SHEILD
TX092397106Medicaid
TX092397104Medicaid
G55770Medicare UPIN