Provider Demographics
NPI:1316167547
Name:SYED, SYYEDA FOUZIA (MD)
Entity type:Individual
Prefix:DR
First Name:SYYEDA
Middle Name:FOUZIA
Last Name:SYED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:SYYEDA
Other - Middle Name:FOUZIA
Other - Last Name:FATIMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:785 5TH AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4217
Practice Address - Street 1:176 S. COLDBROOK AVENUE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201
Practice Address - Country:US
Practice Address - Phone:717-267-7480
Practice Address - Fax:717-217-4216
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT1850232084P0800X
MDD00719572084P0800X
PAMD4328762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1911913OtherAETNA HMO
PA25-1716306OtherINTERGROUP
PA25-1716306OtherDEVON
PA9598206OtherAETNA NON-HMO
PAP00700659OtherRAILROAD MEDICARE
PA120420406OtherDEPT OF LABOR
PA25-1716306OtherMULTIPLAN/PHCS
PAMD432876OtherPA MEDICAL LICENSE
PASY2056235OtherHIGHMARK BLUESHIELD
PA102167268 0001Medicaid
PA25-1716306OtherINFORMED
PAG920-0103/233CCUOtherCAREFIRST
PA25-1716306OtherHEALTHNET/TRICARE
PA1007307260034OtherMEDICAID GROUP #
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA50078616OtherCAPITAL BLUECROSS
PA867633OtherMEDICARE GROUP #
PA867633OtherMEDICARE GROUP #
PA129703LN7Medicare PIN