NPIMap

Organization Active NPI

Syed Tariq Mumtaz, MD, PA

  • Non-Pharmacy Dispensing Site
  • Kissimmee, FL
National Provider Identifier
1558618835
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
SYED TARIQ MUMTAZ, MD, PA
Practice address
724 W Vine St
Kissimmee, FL 34741-4161
Phone
(407) 944-4450
NPI assigned
Aug 6, 2012
Last updated
Aug 6, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
SYED TARIQ MUMTAZ, MD, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Dr. Syed T. Mumtaz, MDNPI 1053346148
Title
Owner
Phone
(407) 944-4450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

724 W Vine St
Kissimmee, FL 34741-4161

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Tax ID family
Syed Tariq Mumtaz MD PA5 organizations share this tax ID, including this one
Part of
Syed Tariq Mumtaz MD PA

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1558618835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414161",
            "telephone_number": "407-944-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED TARIQ MUMTAZ, MD, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYED TARIQ MUMTAZ, MD, PA",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "MUMTAZ",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-944-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.