MEDICARE: DR. SYED FAIZ SAJJAD 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	207R00000X	Internal Medicine Physician	MD050625L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000717962	OTHER	PA	HIGHMARK
2	0163895001	OTHER	PA	INDEPENDENCE BLUE CROSS

General Provider Information

NPI Number	:	1962596130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYED FAIZ SAJJAD M.D.

Provider Business Mailing Address
First Line	:	1411 WOODBOURNE RD
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19057-1504
Country	:	US
Telephone Number	:	215-943-2000
Fax Number	:	215-943-4439

Provider Business Practice Location Address
First Line	:	1411 WOODBOURNE RD
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19057-1504
Country	:	US
Telephone Number	:	215-943-2000
Fax Number	:	215-943-4439

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/08/2007

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