Provider Demographics
NPI:1154411635
Name:SYED, NAYYAR (MD)
Entity type:Individual
Prefix:DR
First Name:NAYYAR
Middle Name:
Last Name:SYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:408 QUITMAN ST STE B
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:TX
Practice Address - Zip Code:75686-1032
Practice Address - Country:US
Practice Address - Phone:903-708-7179
Practice Address - Fax:903-708-7183
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK21325207R00000X
TXN2309207R00000X, 207RX0202X
ARE-4626207R00000X, 208M00000X
IDMC-2162207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00778637OtherRAILROAD MEDICARE
AR158490001Medicaid
TX201742802Medicaid
TX8BZ488OtherBLUECROSS BLUESHIELD OF TX
TXTXB147657Medicare PIN
TXP00778637OtherRAILROAD MEDICARE
H09789Medicare UPIN
TX201742802Medicaid