MEDICARE: ASIF S SYED M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	N8581	TX
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	061665	GA
3	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	N8581	TX
4	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	N8581	TX

General Provider Information

NPI Number	:	1376595611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASIF S SYED M.D.

Provider Business Mailing Address
First Line	:	PO BOX 26531
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78755-0531
Country	:	US
Telephone Number	:	478-550-8383
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 E HWY 29
Second Line	:
City	:	BERTRAM
State	:	TX
Zip	:	78605
Country	:	US
Telephone Number	:	512-355-2116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	03/06/2023

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