MEDICARE: GHUFRAN M SYED

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	261QP2300X	Primary Care Clinic/Center	A114441	CA

General Provider Information

NPI Number	:	1881082311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GHUFRAN M SYED

Provider Business Mailing Address
First Line	:	3723 HAVEN AVE
Second Line	:	#135
City	:	MENLO PARK
State	:	CA
Zip	:	94025-1011
Country	:	US
Telephone Number	:	844-362-7933
Fax Number	:

Provider Business Practice Location Address
First Line	:	3723 HAVEN AVE
Second Line	:	#135
City	:	MENLO PARK
State	:	CA
Zip	:	94025-1011
Country	:	US
Telephone Number	:	844-362-7933
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. GHUFRAN M SYED
Credential	:	M.D.
Telephone Number	:	844-362-7933

Provider Enumeration Date	:	01/06/2015
Last Update Date	:	07/13/2015

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