Provider Demographics
NPI:1467296954
Name:BUKHARI, SYED SARMAD (MBBS, FCPS NEUROS)
Entity type:Individual
Prefix:DR
First Name:SYED SARMAD
Middle Name:
Last Name:BUKHARI
Suffix:
Gender:M
Credentials:MBBS, FCPS NEUROS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF NEUROSURGERY, BETH ISRAEL DEACONESS MEDIC
Mailing Address - Street 2:110 FRANCIS ST #3B
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 FRANCIS ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-632-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2025-02-05
Deactivation Date:2025-01-31
Deactivation Code:
Reactivation Date:2025-02-05
Provider Licenses
StateLicense IDTaxonomies
MA3015802207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery