Provider Demographics
NPI:1962596130
Name:SAJJAD, SYED FAIZ (MD)
Entity type:Individual
Prefix:DR
First Name:SYED
Middle Name:FAIZ
Last Name:SAJJAD
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 1:1411 WOODBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057-1504
Mailing Address - Country:US
Mailing Address - Phone:215-943-2000
Mailing Address - Fax:215-943-4439
Practice Address - Street 1:1411 WOODBOURNE RD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057-1504
Practice Address - Country:US
Practice Address - Phone:215-943-2000
Practice Address - Fax:215-943-4439
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050625L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000717962OtherHIGHMARK
PA0163895001OtherINDEPENDENCE BLUE CROSS
PAF73891Medicare UPIN
PA034817Medicare ID - Type UnspecifiedGROUP NUMBER