Provider Demographics
NPI:1932390010
Name:VIQAR-SYED, MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:VIQAR-SYED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VIQAR
Other - Middle Name:
Other - Last Name:MARIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5308 N GALLOWAY AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-1125
Mailing Address - Country:US
Mailing Address - Phone:469-800-3200
Mailing Address - Fax:469-800-3210
Practice Address - Street 1:6705 HERITAGE PKWY STE 202
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-8727
Practice Address - Country:US
Practice Address - Phone:469-800-3200
Practice Address - Fax:469-800-3210
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301083341207R00000X
MN105642207RC0001X
TXQ0843207RI0011X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNP01059774OtherMEDICARE RAILROAD
MNP01059774OtherMEDICARE RAILROAD
MN210000009Medicare PIN