Provider Demographics
NPI:1457551517
Name:SYED, TANVIR U (MD)
Entity Type:Individual
Prefix:
First Name:TANVIR
Middle Name:U
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 1:24701 EUCLID AVE
Mailing Address - Street 2:THIRD FLOOR - BILLING SERVICES
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:440-827-5061
Mailing Address - Fax:440-250-0467
Practice Address - Street 1:29101 HEALTH CAMPUS DR BLDG 2
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5270
Practice Address - Country:US
Practice Address - Phone:440-827-5061
Practice Address - Fax:440-250-0467
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.0125912084N0400X
OH35-0903172084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2762621Medicaid
OH751187OtherBUCKEYE MEDICAID
OH9057082OtherAETNA
OH000000225100OtherUNISON
OH000000532720OtherANTHEM
OHP00673456OtherMEDICARE RAILROAD
OH415041OtherWELLCARE MEDICAID
OH751187OtherBUCKEYE MEDICAID