Individual
DR. SYED ISMAIL M THIWAN SYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
885 KEMPSVILLE RD, SUITE 114, NORFOLK, VA 23502-3800
(757) 466-0165
(757) 466-7296
Mailing address
885 KEMPSVILLE RD, SUITE 114, NORFOLK, VA 23502-3800
(757) 466-0165
(757) 466-7296
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101243046
VA
207RG0100X
Gastroenterology Physician
Primary
0101243046
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932174687
ANTHEM BCBS
VA
01
—
1932174687
TRICARE
—
05
—
1932174687
—
VA
01
—
5103518
AETNA
—
05
—
891049Q
—
NC
01
—
9625791
CIGNA
—
Enumeration date
02/17/2006
Last updated
12/12/2024
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