Healthcare Provider Details

I. General information

NPI: 1053363341
Provider Name (Legal Business Name): SAIF UDDIN SYED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 05/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 YORK RD STE 100A
LUTHERVILLE MD
21093
US

IV. Provider business mailing address

1447 YORK RD STE 301
LUTHERVILLE MD
21093-6022
US

V. Phone/Fax

Practice location:
  • Phone: 410-252-9090
  • Fax: 410-494-7064
Mailing address:
  • Phone: 410-252-9090
  • Fax: 410-494-7064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD0061664
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: