Fathima Syed Md Pllc | |
3606 Madaca Ln Tampa FL 33618-2057 | |
(813) 968-7830 | |
(813) 265-9697 |
Full Name | Fathima Syed Md Pllc |
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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 |
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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 |
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Provider Enumeration Date | 10/14/2020 |
Last Update Date | 02/25/2022 |
Medicare PECOS PAC ID | 1557776416 |
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Medicare Enrollment ID | O20210226001982 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538767249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Bruce A Kahan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447211156 PECOS PAC ID: 6406912187 Enrollment ID: I20090304000595 |
Provider Name | Fathimazzohare Syed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629161534 PECOS PAC ID: 8022118611 Enrollment ID: I20111212000849 |
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