1174627442 NPI number — SADIQ A SYED MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174627442 NPI number — SADIQ A SYED MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

SYED

Provider First Name:

SADIQ

Provider Middle Name:

A

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1174627442

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

09/10/2025

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

6803 PADDINGTON WAY

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

SUGAR LAND

Provider Business Mailing Address State Name:

TX

Provider Business Mailing Address Postal Code:

77479-2166

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

832-409-2244

Provider Business Mailing Address Fax Number:

832-645-2647

Provider First Line Business Practice Location Address:

18311 CLAY RD STE A7

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

HOUSTON

Provider Business Practice Location Address State Name:

TX

Provider Business Practice Location Address Postal Code:

77084-7159

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

281-984-4550

Provider Business Practice Location Address Fax Number:

832-645-2647

Provider Enumeration Date:

09/08/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207R00000X , with the licence number:  U0203 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 207R00000X , with the licence number: 4301066837 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: 200000002860 . This is a "PHP" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 1021671 . This is a "MCLAREN HEALTH PLAN-MEDICAID" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 1021671 . This is a "MCLAREN HEALTH PLAN-COMMERCIAL" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 1103302882 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 1174627442 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
• Identifier: 200000002860 . This is a "PHP FAMILYCARE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 1021671 . This is a "MCLAREN HEALTH ADVANTAGE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 4931040 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
• Identifier: 0M21440056 . This is a "MEDICARE ADVANTAGE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 7051397 . This is a "AETNA" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 439818 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".