MEDICARE: SYED J MURTAZA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	0101238282	VA
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	0101238282	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275545196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYED J MURTAZA M.D.

Provider Business Mailing Address
First Line	:	43575 WORLD WOODS CT
Second Line	:
City	:	ASHBURN
State	:	VA
Zip	:	20147-4178
Country	:	US
Telephone Number	:	540-316-2660
Fax Number	:

Provider Business Practice Location Address
First Line	:	493 BLACKWELL RD STE 317A
Second Line	:
City	:	WARRENTON
State	:	VA
Zip	:	20186-2628
Country	:	US
Telephone Number	:	540-316-2660
Fax Number	:	540-316-5001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	09/23/2024

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