Provider Demographics
NPI:1053363341
Name:SYED, SAIF UDDIN (MD)
Entity type:Individual
Prefix:
First Name:SAIF
Middle Name:UDDIN
Last Name:SYED
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 1:1447 YORK RD STE 301
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6022
Mailing Address - Country:US
Mailing Address - Phone:410-252-9090
Mailing Address - Fax:410-494-7064
Practice Address - Street 1:1407 YORK RD STE 100A
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093
Practice Address - Country:US
Practice Address - Phone:410-252-9090
Practice Address - Fax:410-494-7064
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332900000X
MDD0061664207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No332900000XSuppliersNon-Pharmacy Dispensing Site
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD405842900Medicaid
MD1053363341OtherMEDICARE RAILROAD
MD1477641447OtherMEDICARE RAILROAD GROUP
MD389PMedicare PIN
MD1477641447OtherMEDICARE RAILROAD GROUP
MDH95675Medicare UPIN