Provider Demographics
NPI:1699724112
Name:JAFFERY, SYED HYDER (MD)
Entity type:Individual
Prefix:DR
First Name:SYED
Middle Name:HYDER
Last Name:JAFFERY
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 1:501 ORCHARD ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4145
Mailing Address - Country:US
Mailing Address - Phone:281-557-8555
Mailing Address - Fax:281-554-3657
Practice Address - Street 1:501 ORCHARD ST
Practice Address - Street 2:SUITE 200
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4145
Practice Address - Country:US
Practice Address - Phone:281-557-8555
Practice Address - Fax:281-554-3657
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8744207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2239956OtherFIRST HEALTH
TXP00155668OtherRAILROAD MEDICARE
TX176237901Medicaid
TX4311112OtherBLUE CROSS BLUE SHIELD
TX7323583OtherAETNA
TX9350653OtherPHCS
TXI11112Medicare UPIN
TX176237901Medicaid