Healthcare Provider Details

I. General information

NPI: 1952483216
Provider Name (Legal Business Name): ASMIR IKRAM SYED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 04/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST. NW. SUITE 218 (POB/SOUTH TOWER)
WASHINGTON DC
20010
US

IV. Provider business mailing address

PO BOX 39220
WASHINGTON DC
20016-9220
US

V. Phone/Fax

Practice location:
  • Phone: 202-723-0416
  • Fax:
Mailing address:
  • Phone: 251-404-3759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number037237
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number037237
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number037237
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: