Provider Demographics
NPI:1265708184
Name:ATIF, SYED MUHAMMAD (MD)
Entity type:Individual
Prefix:DR
First Name:SYED
Middle Name:MUHAMMAD
Last Name:ATIF
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-337-4487
Mailing Address - Fax:717-337-4324
Practice Address - Street 1:6 PERRI AVE
Practice Address - Street 2:
Practice Address - City:MYERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17067-3200
Practice Address - Country:US
Practice Address - Phone:717-949-6581
Practice Address - Fax:717-949-2816
Is Sole Proprietor?:No
Enumeration Date:2012-03-25
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101258560207QA0505X
DCMD043338207QA0505X
MDD0079958207QA0505X
PAMD463671207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103493975Medicaid
13518659OtherCAQH