Provider Demographics
NPI:1942381579
Name:SYED, JUNAID MA (MD)
Entity Type:Individual
Prefix:DR
First Name:JUNAID
Middle Name:MA
Last Name:SYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 4252
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63006-4252
Mailing Address - Country:US
Mailing Address - Phone:314-776-7999
Mailing Address - Fax:314-772-2257
Practice Address - Street 1:3535 S JEFFERSON AVE
Practice Address - Street 2:SUITE 118
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63118-3930
Practice Address - Country:US
Practice Address - Phone:314-776-7999
Practice Address - Fax:314-772-2257
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO20020243452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2002024345OtherSTATE LICENSE
MO208775403Medicaid
0 481 361 4OtherECFMG NUMBER
MO555808691OtherBNDD NUMBER
BS7987728OtherDEA NUMBER
MO555808691OtherBNDD NUMBER
MO2002024345OtherSTATE LICENSE