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NPI Code Detail

MEDICARE: DR. SYED SIRAJ MASOOD M.D.

MEDICARE:  DR. SYED SIRAJ MASOOD  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
1208000000XPediatrics Physician190369NY

General Provider Information

NPI Number : 1538135249
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SYED SIRAJ MASOOD M.D.
Provider Business Mailing Address
First Line : 1295 PORTLAND AVE
Second Line : SUITE 17
City : ROCHESTER
State : NY
Zip : 14621-2731
Country : US
Telephone Number : 585-467-5957
Fax Number : 585-467-7445
Provider Business Practice Location Address
First Line : 1295 PORTLAND AVE
Second Line : SUITE 17
City : ROCHESTER
State : NY
Zip : 14621-2731
Country : US
Telephone Number : 585-467-5957
Fax Number : 585-467-7445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SYED SIRAJ MASOOD M.D.” Practice Location

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