Provider Demographics
NPI:1447440342
Name:SYED, MUHAMMAD KAMALUDDIN (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:KAMALUDDIN
Last Name:SYED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2997
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34973-2997
Mailing Address - Country:US
Mailing Address - Phone:863-824-3480
Mailing Address - Fax:863-824-0588
Practice Address - Street 1:510 N PARROTT AVE
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972-2645
Practice Address - Country:US
Practice Address - Phone:863-824-3480
Practice Address - Fax:863-824-0588
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99470207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME 99470OtherFLORIDA LICENSE
FL120106100Medicaid
FL280761100Medicaid