Syed, Ibrahim N.

Syed, Ibrahim N. is an individual health care provider with primary practice located at 3264 N Evergreen Drive Ne , Grand Rapids MI 49525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Syed, Ibrahim N. can be contacted via phone (616) 363-7272.

Contact Information

Primary practice address
3264 N Evergreen Drive Ne Grand Rapids MI 49525
Phone: (616) 363-7272
Fax: (616) 361-5828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301075861 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35-079155 Ohio

Profile Details

NPI number 1417942814
LBN Legal business name Syed, Ibrahim N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jun 26th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417942814 NPPES
Other 300121586 TRICARE RR MEDICARE
MEDICAID 4460386 TRICARE RR MEDICARE
Other 000000211693 TRICARE RR MEDICARE
MEDICAID 2237592 TRICARE RR MEDICARE
MEDICAID 4302331 TRICARE RR MEDICARE

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