Provider Demographics
NPI:1811054703
Name:SYED, TARIQSHAH M (MD)
Entity type:Individual
Prefix:DR
First Name:TARIQSHAH
Middle Name:M
Last Name:SYED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:954 TEANECK RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4504
Mailing Address - Country:US
Mailing Address - Phone:201-833-2300
Mailing Address - Fax:201-833-7600
Practice Address - Street 1:954 TEANECK RD
Practice Address - Street 2:CARDIOVASCULAR ASSOCIATES OF TEANECK
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4504
Practice Address - Country:US
Practice Address - Phone:201-833-2300
Practice Address - Fax:201-833-7600
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY248059207RC0000X, 207RI0011X
IN01063095A207RC0000X, 207RI0011X
NJ25MA08402000207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ124963M7AMedicare PIN