Provider Demographics
NPI:1700930419
Name:SYED, ARJUMAND BANO (MD)
Entity Type:Individual
Prefix:DR
First Name:ARJUMAND
Middle Name:BANO
Last Name:SYED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3610 N ROXBORO ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2743
Mailing Address - Country:US
Mailing Address - Phone:919-412-8431
Mailing Address - Fax:734-682-0013
Practice Address - Street 1:3610 N ROXBORO ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2743
Practice Address - Country:US
Practice Address - Phone:919-412-8431
Practice Address - Fax:734-682-0013
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2012-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200301067207R00000X, 207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89136A6Medicaid
NCI00416Medicare UPIN