Provider Demographics
NPI:1750339297
Name:SYED, ASHRAF AHSAN (MD)
Entity type:Individual
Prefix:DR
First Name:ASHRAF
Middle Name:AHSAN
Last Name:SYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2702 HOSPITAL DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35476-3376
Mailing Address - Country:US
Mailing Address - Phone:205-333-7075
Mailing Address - Fax:205-333-3256
Practice Address - Street 1:2702 HOSPITAL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3376
Practice Address - Country:US
Practice Address - Phone:205-333-7075
Practice Address - Fax:205-333-3256
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2014-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL171092084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
631205497OtherCHILD NEUROLOGY & SEIZURE
AL51008008OtherBCBS OF AL
AL529902280Medicaid
AL000008008Medicaid
MS00120681Medicaid
AL529902280Medicaid
MS00120681Medicaid