Healthcare Provider Details

I. General information

NPI: 1336079094
Provider Name (Legal Business Name): ANWAR SYED M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 10/09/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DETROIT MEDICAL CENTER- CHILDREN'S HOSPITAL OF MICHIGAN 3901 BEAUBIEN BLVD,
DETROIT MI
48201
US

IV. Provider business mailing address

3901 BEAUBIEN BLVD, RM-3T72
DETROIT MI
48201
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-5437
  • Fax: 313-993-7118
Mailing address:
  • Phone: 313-745-1892
  • Fax: 313-993-7118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4351056744
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: