Imam, Syed A
Imam, Syed A is an individual health care provider with primary practice located at 14131 Midway Rd Suite 620, Addison TX 75001-3623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Imam, Syed A can be contacted via phone (972) 249-0200.Contact Information
Primary practice address
14131 Midway Rd Suite 620
Addison TX 75001-3623
Phone: (972) 249-0200
Fax: (972) 249-0206
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 81240 | Ohio |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01048311 A | Indiana |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N5123 | Texas |
Profile Details
NPI number | 1235123316 |
---|---|
LBN Legal business name | Imam, Syed A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 6th, 2005 |
Last updated | Apr 4th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235123316 | NPPES |
Other | 000000233107 | ANTHEM | |
MEDICAID | 2338929 | ANTHEM |
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