Healthcare Provider Details

I. General information

NPI: 1174506083
Provider Name (Legal Business Name): SYED H VIQAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 11/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ROBINSON ST
POTTSTOWN PA
19464-6421
US

IV. Provider business mailing address

4949 LIBERTY LN SUITE 150
ALLENTOWN PA
18106-9014
US

V. Phone/Fax

Practice location:
  • Phone: 610-326-9250
  • Fax: 610-327-8726
Mailing address:
  • Phone: 610-391-9393
  • Fax: 610-967-1790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD042925E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: