Provider Demographics
NPI:1225619315
Name:SYEDA, ASFIYA BATOOL (CPTH)
Entity type:Individual
Prefix:
First Name:ASFIYA BATOOL
Middle Name:
Last Name:SYEDA
Suffix:
Gender:F
Credentials:CPTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 KRIEDEMAN DR
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:WI
Mailing Address - Zip Code:53589-1046
Mailing Address - Country:US
Mailing Address - Phone:608-852-9770
Mailing Address - Fax:
Practice Address - Street 1:130 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:WISCONSIN DELLS
Practice Address - State:WI
Practice Address - Zip Code:53965-8263
Practice Address - Country:US
Practice Address - Phone:608-254-2137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-20
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2315940183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist