MEDICARE: SAIMA AFREEN SYED MD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	4301096451	MI

General Provider Information

NPI Number	:	1508181694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAIMA AFREEN SYED MD

Provider Business Mailing Address
First Line	:	48869 CASTLEFORD DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-2568
Country	:	US
Telephone Number	:	734-881-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	34815 W MICHIGAN AVE
Second Line	:	SUITE 1
City	:	WAYNE
State	:	MI
Zip	:	48184-1799
Country	:	US
Telephone Number	:	734-881-9600
Fax Number	:

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

Provider Enumeration Date	:	03/31/2010
Last Update Date	:	04/23/2019

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