Provider Demographics
NPI:1972031664
Name:SYED, MOHAMMED (MD)
Entity Type:Individual
Prefix:MR
First Name:MOHAMMED
Middle Name:
Last Name:SYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 YOUREE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71115-2340
Mailing Address - Country:US
Mailing Address - Phone:318-212-3456
Mailing Address - Fax:
Practice Address - Street 1:8001 YOUREE DR STE 400
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71115-2340
Practice Address - Country:US
Practice Address - Phone:318-212-3456
Practice Address - Fax:318-212-3885
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2023-06-20
Deactivation Date:2018-01-02
Deactivation Code:
Reactivation Date:2018-04-18
Provider Licenses
StateLicense IDTaxonomies
LA326813207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine