Individual
MAYANAZ SYEDA-MIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4009 OLD DENTON RD, 114-199, CARROLLTON, TX 75007-1000
(972) 855-8860
(682) 200-2850
Mailing address
1505 REATA DR, CARROLLTON, TX 75010-1153
(972) 375-7821
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L5582
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174155501
—
TX
05
—
174155502
—
TX
01
—
8V5791
BCBS
TX
Enumeration date
12/04/2006
Last updated
09/23/2015
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