Mukaramullah Syed LLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

036082303 Issued in IL

Legal business name

MUKARAMULLAH SYED LLC

Practice address

4309 W Medical Center Dr
Suite B201
McHenry, IL 60050-8419

Phone

(815) 479-8166

Fax

(815) 880-7806

NPI assigned

Jun 4, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mukaramullah Syed, MDNPI 1538175583

Title

Director

Phone

(815) 479-8166

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mukaramullah Syed, M.D.

  • Interventional Cardiology Physician
  • McHenry, IL
  • NPI 1538175583

  Cardiovascular Disease

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1235365206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR",
            "address_2": "SUITE B201",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508419",
            "telephone_number": "815-479-8166",
            "fax_number": "815-880-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR",
            "address_2": "SUITE B201",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508419",
            "telephone_number": "815-479-8166",
            "fax_number": "815-880-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKARAMULLAH SYED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "MUKARAMULLAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-479-8166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036082303",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036082303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5632408",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Judith Muckerheide
• Briana Muehlfelder
• Dean Mueller Jr.
• Ashton Jayce Muffitt
• Imaad Bin Mujeeb, M. D.
• Kimberley Mullendore
• Julie Munch, LMT
• Margareet Munger Vitale
• Luann Joyce Munneke
• Rita John Mure, DDS

• Interventional Cardiology Physician in McHenry, IL
• Providers in McHenry, IL by specialty
• Interventional Cardiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.