Provider Demographics
NPI:1588688717
Name:SYED, NAJAM (MD)
Entity type:Individual
Prefix:DR
First Name:NAJAM
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 1:22348 WICK RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-3607
Mailing Address - Country:US
Mailing Address - Phone:313-292-0140
Mailing Address - Fax:313-292-3542
Practice Address - Street 1:22348 WICK RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-3607
Practice Address - Country:US
Practice Address - Phone:313-292-0140
Practice Address - Fax:313-292-3542
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301060629207R00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301060629OtherSTATE LICENSE #
MIP29180001OtherMEDICARE IND PIN #
MI11290117OtherCAQH
MI4331496Medicaid
MI1588688717OtherBCBS TYPE 1 (IND) NPI #
MI4301060629OtherCDS #
MI11290117OtherCAQH