Provider Demographics
NPI:1013976687
Name:SYED, GAFFAR A (MD)
Entity Type:Individual
Prefix:
First Name:GAFFAR
Middle Name:A
Last Name:SYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:801 TOLL HOUSE AVE
Mailing Address - Street 2:SUITE H4
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4564
Mailing Address - Country:US
Mailing Address - Phone:301-698-9444
Mailing Address - Fax:301-695-4444
Practice Address - Street 1:801 TOLL HOUSE AVE
Practice Address - Street 2:H4
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4564
Practice Address - Country:US
Practice Address - Phone:301-698-9444
Practice Address - Fax:301-695-4444
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0061410207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP00209291OtherRAILROAD
MD64353004OtherBCBS OF MD
MD001182700Medicaid
MDP00209291OtherRAILROAD
MD001182700Medicaid