1548311814 NPI number — DR. SYED A SAMEE MD

Table of content: DR. SYED A SAMEE MD (NPI 1548311814)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548311814 NPI number — DR. SYED A SAMEE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAMEE
Provider First Name:
SYED
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SYED
Provider Other First Name:
SAMEE
Provider Other Middle Name:
A
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1548311814
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/30/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 512185
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90051-0185
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-775-3514
Provider Business Mailing Address Fax Number:
626-218-5310

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1500 DUARTE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUARTE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91010-3012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-256-4673
Provider Business Practice Location Address Fax Number:
626-408-3911
Provider Enumeration Date:
01/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  36-56103 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: A37983 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com