Mushtaque Ali Syed, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301055989 Issued in MI

Practice address

4800 Clintonville Rd
Clarkston, MI 48346-4297

Phone

(248) 674-0903

Fax

(248) 674-3431

NPI assigned

Dec 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1851457287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 BALDWIN DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985625",
            "telephone_number": "248-879-9230",
            "fax_number": "248-248-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 CLINTONVILLE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464297",
            "telephone_number": "248-674-0903",
            "fax_number": "248-674-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "MUSHTAQUE",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301055989",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "MS155989",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4393766",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa A Sutherland
• William Bruce Swain
• Kaleigh Swanson, DPT
• Kelly Anne Dooley Swanson, PA-C
• Kevin Michael Sweet, MPT
• Syncere Hearts Home Healthcare, LLC
• Richard Tack, D.D.S.
• Camela R. Ayoub Takach, M.S.W.
• Tanir Medical Center PC
• Narin Tanir-Avci, M.D.

• Internal Medicine Physician in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.