Healthcare Provider Details

I. General information

NPI: 1750656856
Provider Name (Legal Business Name): SYED BOKHARI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2012
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16605 SOUTHWEST FWY STE 175
SUGAR LAND TX
77479
US

IV. Provider business mailing address

11100 SHADOW CREEK PKWY
PEARLAND TX
77584-7285
US

V. Phone/Fax

Practice location:
  • Phone: 281-302-5673
  • Fax: 713-429-5202
Mailing address:
  • Phone: 713-770-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberR4367
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR4367
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: