Individual
DR. MUSHTAQUE ALI SYED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 CLINTONVILLE RD, CLARKSTON, MI 48346-4297
(248) 674-0903
(248) 674-3431
Mailing address
947 BALDWIN DR, TROY, MI 48098-5625
(248) 879-9230
(248) 248-6743
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MS155989
MI
207R00000X
Internal Medicine Physician
Primary
4301055989
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4393766
—
MI
Enumeration date
12/29/2006
Last updated
09/14/2016
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