Provider Demographics
NPI:1992879761
Name:SYEED, MEHMOODA (MD)
Entity type:Individual
Prefix:DR
First Name:MEHMOODA
Middle Name:
Last Name:SYEED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 BALTIMORE PIKE
Mailing Address - Street 2:SPRINGFIELD SQUARE SOUTH SUITE 9B
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2852
Mailing Address - Country:US
Mailing Address - Phone:484-437-0115
Mailing Address - Fax:
Practice Address - Street 1:1001 BALTIMORE PIKE
Practice Address - Street 2:SPRINGFIELD SQUARE SOUTH SUITE 9B
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-2852
Practice Address - Country:US
Practice Address - Phone:484-437-0115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAZ07RE0101X207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABS9202273OtherDEA NUMBER
PAI28721Medicare UPIN
PA090574TRRMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBR