Healthcare Provider Details

I. General information

NPI: 1225036791
Provider Name (Legal Business Name): SYED MOHAMMAD AMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 08/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 CHURCH ST
SWEETWATER TN
37874-1181
US

IV. Provider business mailing address

304 CHURCH ST
SWEETWATER TN
37874-1181
US

V. Phone/Fax

Practice location:
  • Phone: 865-213-8593
  • Fax: 865-213-8596
Mailing address:
  • Phone: 865-213-8593
  • Fax: 865-213-8596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number27148
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: