Provider Demographics
NPI:1447344403
Name:SYED, ATTOULLAH A (MD)
Entity type:Individual
Prefix:
First Name:ATTOULLAH
Middle Name:A
Last Name:SYED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:474 NIAGARA FALLS BLVD
Mailing Address - Street 2:SUITE7
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14223-2647
Mailing Address - Country:US
Mailing Address - Phone:716-832-1050
Mailing Address - Fax:716-832-1089
Practice Address - Street 1:474 NIAGARA FALLS BLVD
Practice Address - Street 2:SUITE7
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14223-2647
Practice Address - Country:US
Practice Address - Phone:716-832-1050
Practice Address - Fax:716-832-1089
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY131673208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000508638001OtherBLUE CROSS OF WNY
NY00973886Medicaid
NY1701200OtherINDEPENDENT HEALTH
NY2016OtherCOMMUNITY BLUE
NY00010176401OtherUNIVERA
NY1701200OtherINDEPENDENT HEALTH
NY2016OtherCOMMUNITY BLUE