Provider Demographics
NPI:1841497393
Name:AFZAL, SYED M (MD)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:M
Last Name:AFZAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6803 PADDINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2166
Mailing Address - Country:US
Mailing Address - Phone:832-409-2244
Mailing Address - Fax:832-645-2647
Practice Address - Street 1:455 UVALDE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-3717
Practice Address - Country:US
Practice Address - Phone:832-409-2244
Practice Address - Fax:832-645-2647
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS20583207Q00000X
TXQ0602207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00792880OtherRR MEDICARE
MS05701221Medicaid
302I089420Medicare PIN