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NPI Code Detail

MEDICARE: SAMAHA SYED MD

MEDICARE: SAMAHA SYED MD
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
1207RN0300XNephrology PhysicianM4573TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M4573OTHERTXTX MEDICAL LICENSE

General Provider Information

NPI Number : 1881702587
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMAHA SYED MD
Provider Business Mailing Address
First Line : 1505 LBJ FWY STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75234-6065
Country : US
Telephone Number : 214-358-2300
Fax Number : 214-579-6941
Provider Business Practice Location Address
First Line : 4701 OLD SHEPARD PL STE 100
Second Line :
City : PLANO
State : TX
Zip : 75093-5295
Country : US
Telephone Number : 214-358-2300
Fax Number : 214-579-6992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 05/24/2024

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Directions to “ SAMAHA SYED MD” Practice Location

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