Provider Demographics
NPI:1083431340
Name:SAMEER SYED MD PA
Entity type:Organization
Organization Name:SAMEER SYED MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER ENROLLMENT
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:MELELEU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-817-4225
Mailing Address - Street 1:7668 ELDORADO PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5753
Mailing Address - Country:US
Mailing Address - Phone:214-817-4425
Mailing Address - Fax:972-674-2788
Practice Address - Street 1:810 E RALPH HALL PKWY STE 110
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6879
Practice Address - Country:US
Practice Address - Phone:214-817-4425
Practice Address - Fax:972-674-2788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty