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1821034307

NPI Code Detail

MEDICARE: DR. SYED A ATHER M.D.

MEDICARE: DR. SYED A ATHER 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	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	01085650A	IN
2	207Q00000X	Family Medicine Physician	81980	WI
3	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	81980-20	WI
4	207R00000X	Internal Medicine Physician	036114571	IL

General Provider Information

NPI Number	:	1821034307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYED A ATHER M.D.

Provider Business Mailing Address
First Line	:	11109 PARKVIEW PLAZA DR # 117
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1701
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11050 PARKVIEW CIRCLE DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1739
Country	:	US
Telephone Number	:	833-724-8326
Fax Number	:	260-266-7585

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	04/28/2024

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Directions to “ DR. SYED A ATHER M.D.” Practice Location

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