Provider Demographics
NPI:1740493063
Name:SYED, ABDUL-BARI (DO)
Entity type:Individual
Prefix:
First Name:ABDUL-BARI
Middle Name:
Last Name:SYED
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 AMERICAN AVE RM 2036
Mailing Address - Street 2:PROHEALTH CARE HOSPITALIST PROGRAM
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-5031
Mailing Address - Country:US
Mailing Address - Phone:262-928-1000
Mailing Address - Fax:262-928-6140
Practice Address - Street 1:725 AMERICAN AVE RM 2036
Practice Address - Street 2:PROHEALTH CARE HOSPITALIST PROGRAM
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-5031
Practice Address - Country:US
Practice Address - Phone:262-928-5400
Practice Address - Fax:262-928-6140
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI54270-21207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
683750673Medicare PIN