| Fathima Syed MD PLLC | |
|
3606 Madaca Ln Tampa FL 33618-2057 | |
| (813) 968-7830 | |
| (813) 265-9697 |
| Full Name | Fathima Syed MD PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3606 Madaca Ln, Tampa, Florida |
| Authorized Official Name and Position | Kelly Kilgore (OFFICE MANAGER) |
| Authorized Official Contact | 8139687830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fathima Syed MD PLLC 3606 Madaca Ln Tampa FL 33618-2057 Ph: (813) 968-7830 | Fathima Syed MD PLLC 3606 Madaca Ln Tampa FL 33618-2057 Ph: (813) 968-7830 |
| NPI Number | 1538767249 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/24/2022 |
| Medicare PECOS PAC ID | 1557776416 |
|---|---|
| Medicare Enrollment ID | O20210226001982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538767249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Bruce a Kahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447211156 PECOS PAC ID: 6406912187 Enrollment ID: I20090304000595 |
| Provider Name | Fathimazzohare Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629161534 PECOS PAC ID: 8022118611 Enrollment ID: I20111212000849 |
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