Physician Compare National (NPI:1851457287)

HEALTHCARE PROVIDER: MUSHTAQUE ALI SYED MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1851457287
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880879089
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110504000135
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SYED
	Individual professional last name
Provider First Name	MUSTAQUE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	GERIATRIC MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4800 CLINTONVILLE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	CLARKSTON SPECIALTY CENTER
	Group Practice or individual's line 2 address
City	CLARKSTON
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	483464297
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y