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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235123316 NPPES
Other 000000233107 ANTHEM
MEDICAID 2338929 ANTHEM

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