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Individual
SYED A IMAM
Active
Individual
SYED A IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N5123
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01048311 A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
81240
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000233107
ANTHEM
—
05
—
2338929
—
OH
Enumeration date
09/06/2005
Last updated
04/04/2022
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