Provider Demographics
NPI:1982165189
Name:SYED, ALI GILANI (MD)
Entity Type:Individual
Prefix:
First Name:ALI
Middle Name:GILANI
Last Name:SYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:FAU EMERGENCY MEDICINE AT BETHESDA HOSPITAL EAST
Mailing Address - Street 2:2815 S SEACREST BLVD, GME SUITE LOWER LEVEL
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7969
Mailing Address - Country:US
Mailing Address - Phone:561-733-5933
Mailing Address - Fax:866-617-8268
Practice Address - Street 1:FAU EMERGENCY MEDICINE AT BETHESDA HOSPITAL EAST
Practice Address - Street 2:2815 S SEACREST BLVD, GME SUITE LOWER LEVEL
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7969
Practice Address - Country:US
Practice Address - Phone:561-733-5933
Practice Address - Fax:866-617-8268
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-29
Last Update Date:2022-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXT7749207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program