Basic Information
| Provider Information | |||||||||
| NPI: | 1720308398 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | GAFFAR A SYED MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 801 TOLL HOUSE AVE | ||||||||
| Address2: | SUITE H-4 | ||||||||
| City: | FREDERICK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217014555 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3016989444 | ||||||||
| FaxNumber: | 3016954444 | ||||||||
| Practice Location | |||||||||
| Address1: | 801 TOLL HOUSE AVE | ||||||||
| Address2: | SUITE H-4 | ||||||||
| City: | FREDERICK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217014555 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3016989444 | ||||||||
| FaxNumber: | 3016954444 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2010 | ||||||||
| LastUpdateDate: | 05/07/2020 | ||||||||
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| AuthorizedOfficialLastName: | SYED | ||||||||
| AuthorizedOfficialFirstName: | GAFFAR | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER/ PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 3016989444 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 05/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.