MEDICARE: DR. ABBAS SYED D.O.

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	208600000X	Surgery Physician	DR.0066898	CO
2	208600000X	Surgery Physician	5101017581	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5101017581	OTHER	MI	STATE MEDICAL LICENSE

General Provider Information

NPI Number	:	1760418198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABBAS SYED D.O.

Provider Business Mailing Address
First Line	:	2770 MAIN ST
Second Line	:
City	:	MARLETTE
State	:	MI
Zip	:	48453-1141
Country	:	US
Telephone Number	:	989-635-1851
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311A N MILDRED RD
Second Line	:
City	:	CORTEZ
State	:	CO
Zip	:	81321-2231
Country	:	US
Telephone Number	:	970-564-2681
Fax Number	:

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

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	09/13/2024

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