MEDICARE: SYEDA SANIYA BUKHARI DDS

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	122300000X	Dentist	41592	TX

General Provider Information

NPI Number	:	1629968524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYEDA SANIYA BUKHARI DDS

Provider Business Mailing Address
First Line	:	5006 VICTORY SHORES LN
Second Line	:
City	:	ROSHARON
State	:	TX
Zip	:	77583-1814
Country	:	US
Telephone Number	:	832-306-9870
Fax Number	:

Provider Business Practice Location Address
First Line	:	4407 W FUQUA ST # R0
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-6256
Country	:	US
Telephone Number	:	832-306-9870
Fax Number	:

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

Provider Enumeration Date	:	07/03/2025
Last Update Date	:	07/03/2025

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