Basic Information
Provider Information
NPI: 1205226537
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SYEDA
FirstName: SBAA
MiddleName: KAUSER
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 622 W 168TH ST PH 16-29
Address2:  
City: NEW YORK
State: NY
PostalCode: 100323720
CountryCode: US
TelephoneNumber: 2123423200
FaxNumber:  
Practice Location
Address1: 622 W 168TH ST PH 16-29
Address2:  
City: NEW YORK
State: NY
PostalCode: 100323720
CountryCode: US
TelephoneNumber: 2123423200
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/26/2015
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X1205226537NYY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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