Healthcare Provider Details

I. General information

NPI: 1033194857
Provider Name (Legal Business Name): TAUSEEF G SYED M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 WESTBROOK PLAZA DR STE 200
WINSTON SALEM NC
27103-1355
US

IV. Provider business mailing address

PO BOX 935983
ATLANTA GA
31193-5983
US

V. Phone/Fax

Practice location:
  • Phone: 336-896-1477
  • Fax: 336-896-7986
Mailing address:
  • Phone: 336-564-4410
  • Fax: 336-992-2651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number35070858
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number2010-00803
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: